Individual
TIFFANIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6020 PARK BLVD N, PINELLAS PARK, FL 33781-3228
(855) 353-7546
(727) 478-2909
Mailing address
1450 6TH ST SE, WINTER HAVEN, FL 33880-4505
(863) 293-2147
(863) 294-2767
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS14348
FL
207Q00000X
Family Medicine Physician
OS14348
FL
207Q00000X
Family Medicine Physician
R4345
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2014
Last updated
09/27/2024
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