Individual
HENRY ALPHONSO LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9553451
FL
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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