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Individual

MICHAEL K. WING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3650 EMERGENCY LN, SEBRING, FL 33870-5534
(863) 382-8811
(863) 382-6055
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME0066531
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1027139
WELLCARE
FL
01
170074
WELLCARE PROVIDER NUMBER
FL
05
258167100
FL
01
2616613
AETNA HMO PROVIDER #
FL
01
2660708
CIGNA
FL
01
2660708-008
CIGNA PROVIDER NUMBER
FL
01
2734
TOTAL HLTH CH. PROV. #
FL
01
279846
AVMED PROVIDER #
FL
01
28857
BCBS PROVIDER NUMBER
FL
01
4099797
GHI PROVIDER NUMBER
FL
01
42196
FOUNDATION HLTH PROV. #
FL
01
4934
AVMED PIN NUMBER
FL
01
5072119
AETNA
FL
01
920005358
RAILROAD MCR
FL
Enumeration date
09/12/2005
Last updated
06/15/2016
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