Organization
WILLIAM S WONG, D.P.M. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM S. WONG DPM (DOCTOR)
(863) 686-1081
Entity
Organization
Contact information
Practice address
927 S FLORIDA AVE, LAKELAND, FL 33803-1149
(863) 686-1081
(863) 687-6333
Mailing address
927 S FLORIDA AVE, LAKELAND, FL 33803-1149
(863) 686-1081
(863) 687-6333
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0292330
CIGNA HEALTHCARE
FL
01
—
480034954
RAILROAD MEDICARE
FL
01
—
65427
BCBS
FL
Enumeration date
12/14/2007
Last updated
01/11/2008
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