Long, Mason Hoyt

Long, Mason Hoyt is an individual health care provider with primary practice located at 301 Health Park Blvd Ste 325 , Saint Augustine FL 32086-5771. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Long, Mason Hoyt can be contacted via phone (904) 824-6164.

Contact Information

Primary practice address
301 Health Park Blvd Ste 325 Saint Augustine FL 32086-5771
Fax: (904) 824-0365
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0055529 Florida

Profile Details

NPI number 1790854537
LBN Legal business name Long, Mason Hoyt
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Apr 21st, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790854537 NPPES
Florida MEDICAID 038939100

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