Organization
CRESCENT BEACH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIAN S. LONG MD (OWNER/MEMBER MANAGED)
(904) 342-7363
Entity
Organization
Contact information
Practice address
6573 A1A SOUTH, ST AUGUSTINE, FL 32080
(904) 342-7363
(904) 342-7367
Mailing address
6573 A1A SOUTH, ST AUGUSTINE, FL 32080
(904) 342-7363
(904) 342-7367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/25/2013
Last updated
12/04/2025
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