Individual
MAI VU WON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
(239) 208-3994
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
19164
NH
2084N0400X
Neurology Physician
4301116528
MI
2084N0400X
Neurology Physician
M5589
TX
2084N0400X
Neurology Physician
MD60264125
WA
2084N0400X
Neurology Physician
Primary
ME136351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189189701
—
TX
05
—
3118729
—
NH
01
—
P00378349
RRMCR
TX
Enumeration date
10/23/2006
Last updated
01/03/2023
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