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Individual

DR. WILLIAM G LONG JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744
(727) 398-6661
(727) 391-1049
Mailing address
507 JOHNS PASS AVE, MADEIRA BEACH, FL 33708-2368
(727) 399-6661
(727) 391-1049

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME30345
FL

Other

Enumeration date
08/23/2006
Last updated
07/08/2007
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