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Mary Long, PA
NPI 1497840326 · on the registry since 2006
Practice
- Address
- 2627 Riverside Ave Ste 300
Jacksonville, FL 32204 - Phone
- (904) 634-0640
- Fax
- (904) 634-0203
- Organisation at this address
- Anesthesia Dynamics Llc
St Vincents Medical Center Inc
St Vincents Physician Enterprise Inc
Southeast Orthopedic Specialists, Inc
Southeast Orthopedic Specialists, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 117
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida