Individual
BEVERLY JEAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1888 HILLVIEW ST, SARASOTA, FL 34239-3605
(941) 917-8383
(941) 917-8930
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
MD045976
DC
207VX0201X
Gynecologic Oncology Physician
Primary
ME146963
FL
Other
Enumeration date
07/20/2011
Last updated
10/16/2020
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