Individual
DAVID JAMES LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
2732 CAPITAL CIR NE STE 3, TALLAHASSEE, FL 32308-4108
(850) 671-2313
(850) 385-9383
Mailing address
2732 CAPITAL CIR NE STE 3, TALLAHASSEE, FL 32308-4108
(850) 671-2313
(850) 385-9363
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA15257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA15257
MASSAGE THERAPY
FL
Enumeration date
03/11/2014
Last updated
03/11/2014
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