Individual
SALLY ONG DEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
947 TOWN CENTER DR, ORANGE CITY, FL 32763-8361
(386) 917-0075
Mailing address
150 RIDGEWAY DR, BRIDGEPORT, WV 26330-1175
(304) 842-7399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
21119
WV
207K00000X
Allergy & Immunology Physician
Primary
ME124562
FL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
ME124562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1842154000
—
WV
Enumeration date
09/29/2006
Last updated
01/30/2020
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