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Individual

DR. SHELLY WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
615 E PRINCETON ST STE 101, ORLANDO, FL 32803-1435
(407) 236-0006
(407) 236-0007
Mailing address
3100 SW 62ND AVE STE 3109, MIAMI, FL 33155-3009
(305) 662-8386

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME137672
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207T00000X
NJ
Enumeration date
08/21/2018
Last updated
05/01/2026
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