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Individual

IRENE WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
Mailing address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
681857
CA
363L00000X
Nurse Practitioner
Primary
APRN9386799
FL

Other

Enumeration date
09/26/2008
Last updated
08/03/2021
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