Individual
ERNEST TONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2217 NORTH BLVD W, DAVENPORT, FL 33837-8990
(863) 421-3456
Mailing address
2217 NORTH BLVD W, DAVENPORT, FL 33837-8990
(863) 421-3456
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
1770015422
LA
208800000X
Urology Physician
Primary
ME164871
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
10/20/2023
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