Individual
DR. DANITA ROBERTA WONGCHANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
461 7TH AVE S, D R WONG, MED-PED, P.A., ST PETERSBURG, FL 33701-4818
(727) 823-1111
(727) 823-4153
Mailing address
461 7TH AVE S, D R WONG, MED-PED, P.A., ST PETERSBURG, FL 33701-4818
(727) 823-1111
(727) 823-4153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 0076151
FL
208000000X
Pediatrics Physician
Primary
ME 0076151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2590539
AETNA HMO
FL
01
—
44234
BCBS
FL
01
—
5501747
AETNA NON-HMO
FL
Enumeration date
07/05/2006
Last updated
09/11/2025
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