Individual
DR. SAI KWAN WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1321
(863) 603-6534
Mailing address
1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME119399
FL
208M00000X
Hospitalist Physician
Primary
ME119399
FL
Other
Enumeration date
08/21/2012
Last updated
07/13/2020
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