Individual
DR. BO WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 FRIST BLVD STE 4, FORT PIERCE, FL 34950-4800
(772) 595-5302
(772) 595-5304
Mailing address
2401 FRIST BLVD STE 4, FORT PIERCE, FL 34950-4800
(772) 595-5302
(772) 595-5304
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME145640
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/22/2010
Last updated
06/01/2020
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