Long, Robert Lawrence

Long, Robert Lawrence is an individual health care provider with primary practice located at 909 Mar Walt Dr Suite 1011, Fort Walton Beach FL 32547-6635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Long, Robert Lawrence can be contacted via phone (850) 863-3377.

Contact Information

Primary practice address
909 Mar Walt Dr Suite 1011 Fort Walton Beach FL 32547-6635
Phone: (850) 863-3377
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME0043999 Florida

Profile Details

NPI number 1356317002
LBN Legal business name Long, Robert Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Dec 8th, 2016 - about 10 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 1356317002 NPPES
Florida Other 1193377 WELLCARE
Florida Other 382563 WELLCARE
Florida Other 47173 WELLCARE
Florida Other P00728665 WELLCARE

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