Organization
LARRY T. WONG, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY T WONG D.O. (PHYSICIAN)
(850) 215-1080
Entity
Organization
Contact information
Practice address
502 N MACARTHUR AVE, SUITE C, PANAMA CITY, FL 32401-3654
(850) 215-1080
(850) 215-1086
Mailing address
502 N MACARTHUR AVE, SUITE C, PANAMA CITY, FL 32401-3654
(850) 215-1080
(850) 215-1086
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS9154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270357200
—
FL
01
—
48027
BLUE CROSS/BLUE SHIELD
—
01
—
48027Y
MEDICARE PROVIDER NUMBER
—
Enumeration date
03/28/2008
Last updated
10/15/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us