Individual
YUAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 MAR WALT DRIVE, HOSPITALIST DEPARTMENT, FORT WALTON BEACH, FL 32547-6796
(850) 863-8100
(850) 862-2303
Mailing address
1005 MAR WALT DRIVE, HOSPITALIST DEPARTMENT, FORT WALTON BEACH, FL 32547-6796
(850) 863-8100
(850) 862-2303
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME114559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008209400
—
FL
01
—
14P6N
BCBSFL
FL
Enumeration date
06/12/2008
Last updated
01/16/2017
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