Organization
PATHOLOGY SPECIALISTS P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANG L CHEUNG M.D. PHD. (CHIEF FINANCIAL OFFICER)
(407) 422-1377
Entity
Organization
Contact information
Practice address
84 W JERSEY ST, SUITE 1, ORLANDO, FL 32806-4442
(407) 422-1377
(407) 422-1384
Mailing address
84 W JERSEY ST, SUITE 1, ORLANDO, FL 32806-4442
(407) 422-1377
(407) 422-1384
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZI0100X
Immunopathology Physician
—
—
207ZM0300X
Medical Microbiology Physician
—
—
207ZN0500X
Neuropathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0104X
Chemical Pathology Physician
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043953300
—
FL
Enumeration date
02/02/2006
Last updated
06/06/2014
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