Long, Raymond A

Long, Raymond A is an sole proprietor health care provider with primary practice located at 341 Racetrack Rd Nw Ste C , Fort Walton Beach FL 32547-1788. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is his primary health care specialty. Long, Raymond A can be contacted via phone (850) 226-8112.

Contact Information

Primary practice address
341 Racetrack Rd Nw Ste C Fort Walton Beach FL 32547-1788
Phone: (850) 226-8112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MC-126 Guam
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 75914 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X ME80065 Florida

Profile Details

NPI number 1396055299
LBN Legal business name Long, Raymond A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2010
Last updated Feb 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396055299 NPPES
Florida MEDICAID PENDING
Florida Other 14J8Y

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