Individual
DR. JENNIFER BETH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3220 S DOUGLAS RD, SUITE B, MIRAMAR, FL 33025-2734
(954) 436-8444
(954) 436-1159
Mailing address
3220 S DOUGLAS RD, SUITE B, MIRAMAR, FL 33025-2734
(954) 436-8444
(954) 436-1159
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME93226
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275744300
—
FL
Enumeration date
08/14/2006
Last updated
05/19/2010
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