Long, John Charles

Long, John Charles is an sole proprietor health care provider with primary practice located at 155 N Nova Rd , Ormond Beach FL 32174-5138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Long, John Charles can be contacted via phone (386) 672-3111.

Contact Information

Primary practice address
155 N Nova Rd Ormond Beach FL 32174-5138
Phone: (386) 672-3111
Fax: (386) 672-6532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0068137 Florida

Profile Details

NPI number 1356351043
LBN Legal business name Long, John Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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