Individual
DR. GORDON K WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MADRID BLVD, 513, PUNTA GORDA, FL 33950-7968
(941) 505-0974
(941) 637-9000
Mailing address
100 MADRID BLVD, 513, PUNTA GORDA, FL 33950-7968
(941) 505-0974
(941) 637-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0072508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266939100
—
FL
01
—
44390
BCBS
FL
Enumeration date
09/05/2005
Last updated
06/23/2011
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