Organization
LONG DERMATOLOGY PA
Active
Organization
LONG DERMATOLOGY PA
Active
Other names
ASSOCIATED DERMATOLOGIST PA
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C LONG JR. MD (OWNER)
(386) 672-3111
Entity
Organization
Contact information
Practice address
155 N NOVA RD, ORMOND BEACH, FL 32174-5138
(386) 672-3111
(386) 672-6532
Mailing address
155 N NOVA RD, ORMOND BEACH, FL 32174-5138
(386) 672-3111
(386) 672-6532
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME68137
FL
Other
Enumeration date
05/16/2007
Last updated
04/20/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up