Individual
MS. KRISTYN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2884 WELLNESS AVE STE 100, ORANGE CITY, FL 32763-8427
(386) 339-2692
Mailing address
4141 PINO ST, APOPKA, FL 32712-4915
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
PA9115955
FL
363A00000X
Physician Assistant
9115955
FL
Other
Enumeration date
07/05/2022
Last updated
07/03/2025
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