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Individual

RAYMOND A LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MC-126
GU
207XX0801X
Orthopaedic Trauma Physician
29746
MS
207XX0801X
Orthopaedic Trauma Physician
75914
GA
207XX0801X
Orthopaedic Trauma Physician
Primary
ME80065
FL
207XX0801X
Orthopaedic Trauma Physician
MMD.94003.MD
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14J8Y
BC/BS
FL
05
PENDING
FL
Enumeration date
10/14/2010
Last updated
04/29/2025
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