| Mr James Eldon Long Sr, PA-C | |
|
300a Nw 1st Ave, Williston, FL 32696-2006 | |
| (352) 529-0966 | |
| (352) 529-0967 |
| Full Name | Mr James Eldon Long Sr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 300a Nw 1st Ave, Williston, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124165626 | NPI | - | NPPES |
| Y09KU | Other | FL | BCBS |
| 004428900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2538 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Eldon Long Sr, PA-C 300a N,w, 1st Ave, Williston, FL 32696-6262 Ph: (352) 529-0966 | Mr James Eldon Long Sr, PA-C 300a Nw 1st Ave, Williston, FL 32696-2006 Ph: (352) 529-0966 |
James Dawson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 N Main St, Williston, FL 32696 Phone: 352-528-0587 Fax: 352-528-4834 | |
Tyler Greg Egan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 Sw 7th St, Williston, FL 32696 Phone: 352-528-5801 Fax: 352-528-6019 | |
Mr. Christopher Joseph Hirsch, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 111 W Noble Ave, Williston, FL 32696 Phone: 352-529-1111 Fax: 352-529-1115 | |
Brian Donald Pierce, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300a Nw 1st Ave, Williston, FL 32696 Phone: 352-529-0966 Fax: 352-529-0967 |