Long, Molly M

Long, Molly M is an individual health care provider with primary practice located at 603 7Th St S Suite 300, St Petersburg FL 33701-4719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Long, Molly M can be contacted via phone (727) 954-7121.

Contact Information

Primary practice address
603 7Th St S Suite 300 St Petersburg FL 33701-4719
Phone: (727) 954-7121
Fax: (727) 954-7122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME00752014 Florida

Profile Details

NPI number 1043208523
LBN Legal business name Long, Molly M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Oct 6th, 2022 - about 2 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 1043208523 NPPES
Florida MEDICAID 272448100

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