Individual
MISS CHRISTINE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2014039437
MO
207P00000X
Emergency Medicine Physician
28188
NE
207P00000X
Emergency Medicine Physician
Primary
A142696
CA
Other
Enumeration date
04/04/2011
Last updated
05/23/2024
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