Individual
JAIME LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 BILL FRANCE BLVD STE 200, DAYTONA BEACH, FL 32114-1316
(386) 868-1992
Mailing address
841 JIMMY ANN DR, DAYTONA BEACH, FL 32117-4583
(386) 425-3900
(386) 274-4140
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/11/2013
Last updated
05/17/2022
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