Individual provider · Type 1 NPI
James Eldon Long Sr., PA-C
Medical Physician Assistant · Williston, FL
NPI number
1124165626
Active
Practice location
300A NW 1st Ave
Williston, FL 32696-2006
Fax (352) 529-0967
Mailing address
300A N,w, 1st Ave
Williston, FL 32696-6262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA2538 (FL) |
Medical Physician Assistant: Definition to come...
About NPI 1124165626
James Eldon Long Sr., PA-C's National Provider Identifier is 1124165626, issued on Jan 31, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Williston, FL. The record was last updated on Apr 29, 2014.