Individual
ANTONIO H WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 NW 179TH AVE, PEMBROKE PINES, FL 33029-2807
(954) 442-2828
(954) 442-3366
Mailing address
501 NW 179TH AVE, PEMBROKE PINES, FL 33029-2807
(954) 442-2828
(954) 442-3366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME62898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373222300
—
FL
Enumeration date
06/03/2006
Last updated
01/23/2013
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