Individual
DR. PEARL CHU KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
10175 FORTUNE PKWY UNIT 1203, JACKSONVILLE, FL 32256-6758
(904) 519-5292
(904) 519-5296
Mailing address
10175 FORTUNE PKWY, SUITE 1203, JACKSONVILLE, FL 32256-3519
(904) 519-5292
(904) 519-5296
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME82288
FL
207NP0225X
Pediatric Dermatology Physician
Primary
ME 82288
FL
Other
Enumeration date
10/11/2006
Last updated
02/22/2024
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