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Anthony Long

NPI 1669546859 · on the registry since 2006 · sole proprietor

Practice

Address
19428 Via Del Mar
Apt. 208
Tampa, FL 33647
Phone
(813) 391-1074

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-01-07

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