Most Relevant Information
Provider Data
| NPI Number: | 1003578931 |
| Provider Name: | SARAH ELIZABETH LONG |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN11015817 |
Most Important Dates
| Enumeration Date: | 10/07/2021 |
| Last Updated: | 10/08/2021 |
Provider Practice Location
9241 PARK ROYAL DR
FORT MYERS
FL
339089204
Practice Location Phone/Fax
| Phone: | 2399852700 |
| Fax: |
Provider Mailing Location
9241 PARK ROYAL DR
FORT MYERS
FL
339089204
Provider Mailing Phone/Fax
| Phone: | 2399852700 |
| Fax: |