Individual
CONNIE WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 NW 17TH ST, MIAMI, FL 33136-1134
(305) 243-2020
(305) 482-4568
Mailing address
900 NW 17TH ST, MIAMI, FL 33136-1134
(305) 243-2020
(305) 482-4568
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD473221
PA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD473221
PA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
ME154709
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2017
Last updated
08/22/2022
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