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: Not Enrolled in Medicare 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 |