Individual
FABIANA DEMARIA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
407 N PARSONS AVE STE 104, BRANDON, FL 33510-4537
(813) 681-5880
Mailing address
407 N PARSONS AVE STE 104, BRANDON, FL 33510-4537
(813) 681-5880
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11022441
FL
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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