Organization
JAMES PHILLIP LONG DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PHILLIP LONG DPM (DOCTOR)
(727) 736-6741
Entity
Organization
Contact information
Practice address
210 PATRICIA AVE, DUNEDIN, FL 34698-8124
(727) 736-6741
(727) 733-6965
Mailing address
210 PATRICIA AVE, DUNEDIN, FL 34698-8124
(727) 736-6741
(727) 733-6965
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041218000
—
FL
Enumeration date
04/23/2008
Last updated
04/23/2008
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