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Individual

ANN MARIE DEVERAS WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1801 NE 123RD ST, SUITE 414, NORTH MIAMI, FL 33181-2817
(305) 981-0600
(305) 981-2700
Mailing address
375 NE 54TH ST STE 7, MIAMI, FL 33137-2966
(786) 842-7001
(786) 410-9200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
204659
NY
208000000X
Pediatrics Physician
Primary
ME 108078
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002812400
FL
Enumeration date
10/17/2005
Last updated
06/10/2019
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