Individual
GABRIEL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9550 US HIGHWAY 19 STE 202, PORT RICHEY, FL 34668-4648
(727) 494-7609
Mailing address
11114 YELLOWWOOD LN, PORT RICHEY, FL 34668-2340
(352) 346-0729
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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