Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Long Dermatology PA

Organization Dermatology Physician · NPI 1801003496

Long Dermatology PA is a Dermatology Physician in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

155 N Nova Rd
Ormond Beach, FL 32174-5138
Phone: (386) 672-3111
Fax: (386) 672-6532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME68137 (FL)

Record details

NPI number1801003496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Long — Owner · (386) 672-3111
Other names Associated Dermatologist Pa
NPI enumeratedMay 16, 2007
Last updated in NPPESApril 20, 2008
Mailing address155 N Nova Rd, Ormond Beach, FL 32174-5138

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