Individual
WEIWU PANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1825 N MILLS AVE, ORLANDO, FL 32803-1853
(863) 680-7206
(863) 680-7420
Mailing address
PO BOX 95004, LAKELAND, FL 33804-5004
(863) 680-7206
(863) 680-7420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME56580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266187000
—
FL
Enumeration date
02/02/2006
Last updated
05/16/2012
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