Individual
MR. CYRIL C WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11009 HEARTH RD, SPRING HILL, FL 34608-3723
(352) 688-5700
(352) 688-5548
Mailing address
PO BOX 15430, BROOKSVILLE, FL 34604-0118
(352) 688-5700
(352) 688-5548
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME66960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26182
BLUE CROSS BLUE SHIELD
FL
05
—
376067700
—
FL
Enumeration date
07/24/2006
Last updated
09/02/2014
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