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MARY K LONG PA
NPI 1497840326
Physician Assistant in Jacksonville, FL

Active since October 04, 2006
2627 RIVERSIDE AVE STE 300, JACKSONVILLE, FL 32204(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary K Long Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY K LONG PA (NPI 1497840326) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA0003154) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1497840326
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY K LONGCredential: PA
Location Address2627 RIVERSIDE AVE STE 300Jacksonville, FL 32204-4717
Mailing Address6500 Bowden Rd Ste 103Jacksonville, FL 32216-8066 · (904) 634-0640 · Fax (904) 634-0203
Phone(904) 634-0640
Fax(904) 634-0203
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
✔ NPI 1497840326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA0003154
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2627 RIVERSIDE AVE STE 300, Jacksonville, FL 32204
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Other Names 1

Former Name (1)Mary K Falbo

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA PARRIS APRN
Nurse Practitioner (Family)
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
ADAM ENDRESS DPT
Physical Therapist
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
CONNOR GRANT DPT
Physical Therapist
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
STEPHEN ARNDT M.D.
Orthopaedic Surgery
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
MR. TREVAINE A DAVIS PA
Physician Assistant
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
KRISTI LYNN TARDIF PA-C
Physician Assistant
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
DR. RONAK ARVIND PATEL DO
Pain Medicine (Interventional Pain Medicine)
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640
CARI BRODERICK PA-C
Physician Assistant (Surgical)
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Duval County (904) 634-0640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Long's NPI number?

The NPI number for Mary Long is 1497840326. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Mary K Falbo.

Where is Mary Long located?

Mary Long practices at 2627 Riverside Ave Ste 300, Jacksonville, FL 32204. The listed phone number is (904) 634-0640.

What is Mary Long's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mary Long was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.