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

Dr. Jack Wiley Delong, MD

Individual provider Otolaryngology Physician · NPI 1356349039

Dr. Jack Wiley Delong, MD is an Otolaryngology Physician in Sarasota, Florida. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1900 Brother Geenen Way
Sarasota, FL 34236-7102
Phone: (941) 556-3220
Fax: (941) 955-8214
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Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 4301029955 (MI)

Record details

NPI number1356349039
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESAugust 14, 2019
Mailing address111 W 24th St, Holland, MI 49423-4791

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