Organization
ARNOLD D FONG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD DOUGLAS FONG M.D. (PHYSICIAN/PRESIDENT)
(904) 280-8228
Entity
Organization
Contact information
Practice address
1102 A1A N, SUITE 106, PONTE VEDRA, FL 32082-4098
(904) 280-8228
Mailing address
1102 A1A N, SUITE 106, PONTE VEDRA, FL 32082-4098
(904) 280-8228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME65011
FL
Other
Enumeration date
02/25/2008
Last updated
07/15/2008
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