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10D0943865 CLIA NUMBER - MASON H LONG MD

Laboratory Demographics

CLIA Number: 10D0943865

Facility Name: MASON H LONG MD

Facility Address:
301 HEALTH PARK BLVD #325
SAINT AUGUSTINE, FL
ZIP 32086
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Facility Phone Number: 904 824-6164

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1790854537

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D0943865
LAB Type Physician Office
Facility Name MASON H LONG MD
Street 301 HEALTH PARK BLVD #325
City SAINT AUGUSTINE
State FL
ZIP 32086
Phone 904 824-6164
CertificateType 4
CertificateEffectiveDate 4/6/2024
CertificateExpirationDate 4/5/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024