NPI 1043208523

Molly M Long, MD

Practitioner Obstetrics & Gynecology Physician St Petersburg, FL

Practice location

Address: 603 7th St S Suite 300, St Petersburg, FL 33701-4719
Phone: (727) 954-7121
Fax: (727) 954-7122
Mailing address: PO Box 25317, Tampa, FL 33622-5317

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence ME00752014 (FL)

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Registry record

NPI: 1043208523
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2005
Record last updated: 6 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.