Organization
ACCUPATH PLUS LLC
Active
Other names
NONE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL H WONG MD (MEDICAL DIRECTOR MD)
(813) 641-0484
Entity
Organization
Contact information
Practice address
5938 FROND WAY, APOLLO BEACH, FL 33572
(813) 641-0484
(813) 641-0488
Mailing address
5938 FROND WAY, APOLLO BEACH, FL 33572-2646
(813) 641-0484
(813) 641-0488
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
800001365
FL
291U00000X
Clinical Medical Laboratory
800001365
FL
Other
Enumeration date
03/15/2006
Last updated
01/26/2012
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