John Long, PA

Physician Assistant · Lakeland, FL

Individual Active NPI

NPI number 1043028418

Practice location

2000 E Edgewood Dr Ste 112
Lakeland, FL 33803-3639
Phone
(863) 666-3436
Fax
(863) 667-3550

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NPI record

NPI
1043028418
Entity type
Individual (Type 1)
Enumeration date
December 18, 2024
Last updated
March 5, 2025
Certified
March 5, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 1218517 FL

About John Long

John Long, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2000 E Edgewood Dr Ste 112, Lakeland, FL 33803-3639. The NPI number 1043028418 was assigned on December 18, 2024 and the record was last updated on March 5, 2025.

John Long lists a license in the registry: #1218517 (FL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Long, PA?

The NPI number is 1043028418.

What is the phone number of John Long?

The phone number listed for the practice location is (863) 666-3436.

Where is John Long located?

2000 E Edgewood Dr Ste 112, Lakeland, FL 33803-3639.

What is the taxonomy code for John Long?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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