Individual
DR. JACKSON WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S ANDREWS AVE, FT LAUDERDALE, FL 33316-2510
(954) 468-8000
(954) 468-8007
Mailing address
8785 THOUSAND PINES CIR, WEST PALM BEACH, FL 33411-1909
(561) 753-2184
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME53128
FL
Other
Enumeration date
04/19/2006
Last updated
07/13/2007
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