Search › Florida › 183500000X
Willie Long
NPI 1679617898 · on the registry since 2007 · sole proprietor
Practice
- Address
- 201 W 48th St
Jacksonville, FL 32208 - Phone
- (904) 766-4700
- Fax
- (904) 764-4900
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
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