Mason H Long Md Pa
LBN: Mason H Long Md Pa
Mason H Long Md Pa is an health care organization with primary practice located at 301 Health Park Blvd Ste 325 , St Augustine FL 32086-5771. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Mason H Long Md Pa can be contacted via phone (904) 824-6164, or through Long, Mason H via phone (904) 824-6164.
Contact Information
Primary practice address
301 Health Park Blvd Ste 325
St Augustine FL 32086-5771
Phone: (904) 824-6164
Fax: (904) 824-0365
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
NPI number | 1710204474 |
---|---|
LBN Legal business name | Mason H Long Md Pa |
DBA Doing business as | |
Authorized official | Long, Mason H Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 21st, 2010 |
Last updated | Apr 21st, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710204474 | NPPES |
Florida | MEDICAID | 038939100 |
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