Individual
LAREECE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 BELLSHIRE WAY, WINTER GARDEN, FL 34787-2430
(773) 251-0155
Mailing address
715 BELLSHIRE WAY, WINTER GARDEN, FL 34787-2430
(773) 251-0155
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
0027
FL
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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