Individual
PHILIP WONG WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4325 SUN N LAKE BLVD STE 102, SEBRING, FL 33872-2171
(863) 382-1663
(863) 386-0162
Mailing address
4325 SUN N LAKE BLVD STE 102, SEBRING, FL 33872-2171
(863) 382-1663
(863) 386-0162
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
10496
ND
207RP1001X
Pulmonary Disease Physician
11841
NV
207RP1001X
Pulmonary Disease Physician
17471
MS
207RP1001X
Pulmonary Disease Physician
238898
NY
207RP1001X
Pulmonary Disease Physician
C52602
CA
207RP1001X
Pulmonary Disease Physician
M6468
TX
207RP1001X
Pulmonary Disease Physician
Primary
ME99701
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125040
—
MS
05
—
279273700
—
FL
Enumeration date
04/13/2006
Last updated
04/27/2018
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