| Travis David Long, PA | |
|
303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | |
| (386) 254-4000 | |
| (386) 425-7522 |
| Full Name | Travis David Long |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 303 N Clyde Morris Blvd, Daytona Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104262781 | NPI | - | NPPES |
| 0089009-00 | Medicaid | FL | |
| 003135044A | Medicaid | GA | |
| 008900900 | Medicaid | FL | |
| Y0HL0 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9107114 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Travis David Long, PA Po Box 732901, Dallas, TX 75373-2901 Ph: (386) 226-4590 | Travis David Long, PA 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 Ph: (386) 254-4000 |
Rhonda Lee Gleason, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Memorial Medical Pkwy Ste 308, Daytona Beach, FL 32117 Phone: 386-231-3600 Fax: 386-231-3602 | |
Angelica Diez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4000 | |
Savanna Hanh Duong, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 877-842-5432 | |
Celeste Nadine Welch, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Parkway, Florida Memorial Medical Center, Daytona Beach, FL 32117 Phone: 386-231-3023 | |
Armando Fernandez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000 | |
Courtney Swallows, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-1700 Fax: 386-425-1704 | |
Marissa Stewart, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 305 Memorial Medical Pkwy Ste 401, Daytona Beach, FL 32117 Phone: 386-231-3540 |