Individual
JENNIFER WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2625 EXECUTIVE PARK DR STE 7, WESTON, FL 33331-3634
(954) 385-1544
(954) 385-1533
Mailing address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143-4701
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS16373
FL
Other
Enumeration date
03/01/2018
Last updated
08/18/2022
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