Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS DAVID LONG, PA
ActiveTRAVIS DAVID LONG, PA is a Physician Assistant healthcare provider located in DAYTONA BEACH, Florida. NPI 1104262781 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DAYTONA BEACH, FL
Registration Details
- NPI Number
- 1104262781
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2013 (13.223863450773 yrs)
- Last Updated
- Mar 3, 2016
- License
-
PA9107114 (FL)
Practice Information
- Address
-
303 N CLYDE MORRIS BLVDDAYTONA BEACH, FL, 321142709Browse FL providers · Browse ZIP 32114
- Phone
- 3862544000
- Fax
- 3864257522
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DAYTONA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. HEATHER L CRAWFORD | PA-C | 1871588830 |
| LAURA ANNE STONAKER | PA.C | 1225026503 |
| JENNIFER L FICK | PA-C | 1932182177 |
| MRS. ELIZABETH HUNT BAKER | PA C | 1801864681 |
| MRS. KANDACE F VAGOVIC | PA-C | 1336193044 |
| ANTHONY A. AZZARELLO | PA | 1073568747 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.