DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN CHARLES LONG JR., MD

Active Sole Proprietor

DR. JOHN CHARLES LONG JR., MD is a Dermatology healthcare provider located in ORMOND BEACH, Florida. NPI 1356351043 is currently active in the NPPES registry. Verify at CMS.

Dermatology · ORMOND BEACH, FL

Registration Details

NPI Number
1356351043
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2006 (20.055064827929 yrs)
Last Updated
Jul 8, 2007
License
ME0068137 (FL)
Sole Proprietor
Yes

Practice Information

Address
155 N NOVA RD
ORMOND BEACH, FL, 321745138
Browse FL providers · Browse ZIP 32174
Phone
3866723111
Fax
3866726532
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in ORMOND BEACH, FL

Name Credential NPI
DR. MICHAEL JAMES SUAH M.D. 1114912466
DR. JEFFREY DEAN PARKS MD 1336134360
DR. WILLIAM ALLEN BETHEA JR. DO 1326149949
RONALD W SHERMAN DO 1992837900
DR. REENA SACHDEV M.D. 1790805729
DR. JOHN CHRISTOPHER COPPOLA DO 1346462181
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.