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Individual

JULIA STEIN LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5350 SPRING HILL DR, SPRING HILL, FL 34606-4562
(352) 688-8116
(352) 688-7940
Mailing address
14690 SPRING HILL DR, STE 101, SPRING HILL, FL 34609-8102
(352) 799-0046
(352) 606-2857

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9101995
FL
363AM0700X
Medical Physician Assistant
Primary
PA9101995
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AM224Z
MEDICARE TYPE - UNSPECIFIED
FL
Enumeration date
10/10/2006
Last updated
10/28/2016
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