Individual
MISS AUDREY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283
(407) 303-0347
Mailing address
2501 N ORANGE AVE STE 401, ORLANDO, FL 32804-4644
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9370184
FL
363LA2100X
Acute Care Nurse Practitioner
69996
NM
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11003307
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11003307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104668600
—
FL
01
—
PX189
HF MA
FL
Enumeration date
07/23/2019
Last updated
01/04/2024
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