Individual
LINDA JEAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
975 BAPTIST WAY, HOMESTEAD, FL 33033-7600
(786) 243-8132
Mailing address
7521 SW 175TH ST, PALMETTO BAY, FL 33157-6314
(305) 278-8462
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP934852
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP934852
FL
Other
Enumeration date
06/03/2013
Last updated
06/26/2013
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