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

Travis David Long, PA

Individual provider Physician Assistant · NPI 1104262781

Travis David Long, PA is a Physician Assistant in Orange City, Florida. Qualified in 2012, 14 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2565 Enterprise Rd Ste 400
Orange City, FL 32763-8016
Phone: (321) 841-6444
Fax: (321) 842-1955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 — (386) 254-4000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9107114 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9107114 (FL)

Record details

NPI number1104262781
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 22, 2013
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address2565 Enterprise Rd Ste 400, Orange City, FL 32763-8016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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