Individual
JOHN EARL LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13690 LONGS LANDING RD W, JACKSONVILLE, FL 32225-5423
(904) 535-7801
(904) 221-7751
Mailing address
13690 LONGS LANDING RD W, JACKSONVILLE, FL 32225-5423
(904) 535-7801
(904) 221-7751
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME 63156
FL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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