Individual
EVAN J WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
4443 PETAL DR UNIT 202, NAPLES, FL 34112-6348
(801) 682-3792
Mailing address
4443 PETAL DR UNIT 202, NAPLES, FL 34112-6348
(801) 682-3792
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
APRN11023799
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11023799
FL
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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