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

Tyler Jon Long, DO

Individual provider Dermatology Physician · NPI 1851954242

Tyler Jon Long, DO is a Dermatology in The Villages, Florida. Graduated from Lake Erie College of Osteopathic Medicine, Bradenton in 2020, 6 years ago. Practices with Long Medical PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida, New Jersey and Virginia.

Years since qualifying
6
Trained at
Lake Erie College of Osteopathic Medicine, Bradenton
Licensed in
FL, NJ, VA
In the registry since
2019
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3614 Kiessel Rd
The Villages, FL 32163-2910
Phone: (352) 914-3451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 21531 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence 25MB12236700 (NJ)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 21531 (FL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 21531 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 0116034370 (VA)

Record details

NPI number1851954242
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 21, 2019
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address3614 Kiessel Rd, The Villages, FL 32163-2910

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2020 (6 years in practice)
Group practice Long Medical Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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