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Individual

ALLEN D LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 955-4600
(561) 955-3259
Mailing address
1001 NW 13TH ST STE 201, BOCA RATON, FL 33486-2269
(561) 955-6663
(561) 955-2879

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9218893
FL
363L00000X
Nurse Practitioner
Primary
APRN9218893
FL
363LA2100X
Acute Care Nurse Practitioner
APRN11015091
FL

Other

Enumeration date
05/22/2007
Last updated
05/27/2022
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