Molly M Long MD

NPI 1043208523 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1043208523
Gender Female
Enumeration Date 10/10/2005
Last Updated 08/04/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
603 7TH ST S
SUITE 300
ST PETERSBURG FL, 33701-4719, US
Phone (727) 954-7121
Fax (727) 954-7122
Business Location
PO BOX 25317
TAMPA FL, 33622-5317, US
Phone (813) 286-0033
Fax (813) 282-1806
Toxanomy
Taxonomy Code 207V00000X
License State Florida
License Number ME00752014
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According to our database, Dr. Molly M Long MD NPI is 1043208523, taxonomy code is 207V00000X and license number is ME00752014, license state is located at Florida. Molly M Long MD physically located at 603 7th St S, St Petersburg FL, 33701-4719. NPI Number Molly M Long MD has the Individual type.

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1043208523 NPI number is provided on an as is basis without warranty of any kind. 1043208523 is maintained by the National Plan & Provider Enumeration System. The contents of Molly M Long MD are for informational purposes only.