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Individual

WEI WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-1347
Mailing address
11972 LAZARETTE CT, JACKSONVILLE, FL 32258-1197

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME97423
FL
207ZH0000X
Hematology (Pathology) Physician
ME97423
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME97423
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277240000
FL
Enumeration date
01/16/2006
Last updated
05/06/2013
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