GARY LONG


Address: 4500 San Pablo Rd S, Jacksonville, FL 32224-1865
Phone: 9049532000

GARY LONG (NPI# 1437130341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437130341
Entity Type Individual
Full Name GARY LONG
Credential PA
Practice Address 4500 San Pablo Rd S
Jacksonville
FL 32224-1865
Practice Telephone 9049532000
Enumeration Date 2005-11-08
Last Update Date 2020-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA2387 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers GARY LONG

NPI Name Taxonomy Address Enumeration
1083061709 Gary A. Long Occupational Therapy Assistant 3920 Hilltop Drive, Parma, OH 44134 2016-05-23
1861043911 Gary Long Behavioral Analyst 150 W University Blvd, Melbourne, FL 32901-6982 2019-09-20
1144747213 Gary W Long Jr. Social Worker 922 National Hwy, Lavale, MD 21502-7325 2017-08-29
1417176348 Gary William Long Dentist 1600 S 4th Ave, Ste 110, Morton, IL 61550-2889 2007-04-25
1861477887 Gary Winn Long Anesthesiology 1600 7th Ave S, Suite 420 Acc, Birmingham, AL 35233-1711 2005-12-13

Office Location

Street Address 4500 SAN PABLO RD S
City JACKSONVILLE
State FL
Zip Code 32224-1865

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891799136 Richard Clarke Agnew Thoracic Surgery (Cardiothoracic Vascular Surgery) 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2005-06-01
1427657964 Brianna Iannarelli Nurse Anesthetist, Certified Registered 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-24
1538768981 Heather Anne Dahlen Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-17
1578161717 Szilvia Fortner Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-10
1265049464 Carolyn Gonzalez Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-09-30
1467065748 Ifeloluwa A Olutola Family Medicine 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-26
1366055568 Krina Dipak Vyas Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-26
1356954911 Haleigh Diane Shelton Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-24
1215548805 Victoria Zeilinger Reams Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-16
1558971382 Rachel Marie Hannon Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356974372 Noelle Parker Specialist/Technologist 1 Unf Drivve, Jacksonville, FL 32224 2020-02-18
1124685102 Charcy Rene Stiller Specialist/Technologist 1 Unf Dr., Jacksonville, FL 32224 2019-05-24
1265097513 Mayo Clinic Jacksonville Ambulance 13970 Zumbro Dr, Jacksonville, FL 32224 2019-05-02
1639681471 Brigantti Anesthesia & Spine Care Clinic/Center 1361 13th Ave South Suite #210, Jacksonville, FL 32224 2017-11-02
1093240061 Beric Emilio Berlioz Anesthesiology 4500 San Pablo Rd S # J, Jacksonville, FL 32224 2017-04-26
1609240746 Matthew James Dailey Nurse Anesthetist, Certified Registered 2500 San Pablo Rd S, Jacksonville, FL 32224 2015-11-29
1003299603 Upscale Personal Care Home Assisted Living Facility 4375 Autumn River Road, Jacksonville, FL 32224 2015-07-01
1629459375 Bellanid Fonseca Social Worker 3694 Summerlin Ln E, Jacksonville, FL 32224 2015-06-17
1164840500 Nicholas Scotto Physical Therapist 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 2014-04-02
1497093454 Quicker Care Urgent Care Point of Service 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 2013-01-27
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
1245830314 Jonathan V Korah Physician Assistant 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 2020-10-28
1255931473 Rachel Gavrielle Stahly Physician Assistant 11438 Emuness Rd, Jacksonville, FL 32218-4050 2020-10-27
1760099071 Laura Alexandra Ramos-heckman Physician Assistant 2014 Capistrano Dr, Jacksonville, FL 32224-3091 2020-09-30
1184230583 Julian Clouse Physician Assistant 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 2020-09-21
1962016717 Stephanie Benton Gentry Physician Assistant 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 2020-08-31
1629689435 Monarch Mental Health Association Physician Assistant 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 2020-08-14
1235749425 Nicole Lhommedieu Physician Assistant 3850 Marnie Pl, Jacksonville, FL 32223-3541 2020-08-03
1861002123 Naw-am Acio Daniels Physician Assistant 7467 Volley Dr N, Jacksonville, FL 32277-9368 2020-08-03
1750906640 Veronica Adriana Dediego Physician Assistant 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 2020-06-16
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Competitor

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City JACKSONVILLE
Zip Code 32224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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