Individual
ANNIE P WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4500 SHERIDAN ST, HOLLYWOOD, FL 33021-3516
(954) 966-8000
(954) 966-6614
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 966-8000
(954) 966-6614
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS14484
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021024600
—
FL
Enumeration date
06/10/2013
Last updated
03/18/2020
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