Individual
DR. CALEB BERT LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
250 N WICKHAM RD, MELBOURNE, FL 32935-8625
(321) 338-1618
(321) 433-2311
Mailing address
3355 HOLLY SPRINGS RD, MELBOURNE, FL 32934-8307
(304) 687-4039
(321) 433-2311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116027421
VA
207R00000X
Internal Medicine Physician
OS14699
FL
Other
Enumeration date
06/23/2014
Last updated
01/17/2020
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