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:
Map and Directions
Authorized official contact:
Name: Long, Mason H Doctor of Medicine (MD)
Phone: (904) 824-6164

Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710204474 NPPES
Florida MEDICAID 038939100

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