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Individual

LONG HOANG DANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
325 S COURTENAY PKWY, MERRITT ISLAND, FL 32952-4846
(321) 268-4200
(321) 268-1386
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 268-4200

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME104267
FL
207RH0003X
Hematology & Oncology Physician
ME104267
FL
207RX0202X
Medical Oncology Physician
Primary
ME104267
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108472900
FL
01
M5451
MEDICARE HF
FL
Enumeration date
10/31/2006
Last updated
06/26/2025
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