Individual
PHONG Q ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME103396
FL
207RI0011X
Interventional Cardiology Physician
ME103396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003930700
—
FL
05
—
116019700
—
FL
Enumeration date
10/17/2007
Last updated
11/15/2022
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