Individual
MA-LI WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, BOX 016690 M851, MIAMI, FL 33136-1005
(305) 355-9105
(305) 243-8470
Mailing address
1611 NW 12TH AVE, BOX 016690 M851, MIAMI, FL 33136-1005
(305) 355-9105
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME98288
FL
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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