IndividualActive
James Long, PA-C
NPI 1124165626 · Medical Physician Assistant · Williston, FL
Provider details
- NPI number
- 1124165626
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA2538 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
300a Nw 1st Ave
Williston, FL 32696-2006
Phone: (352) 529-0966
Fax: (352) 529-0967
Approximate (ZIP-level) locationGet directions
Mailing address
300a N,w, 1st Ave
Williston, FL 32696-6262
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2014-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.