Dr Wong, Med-ped, P.a. | |
461 7th Ave S Dr Wong, Med-ped, P.a. St Petersburg FL 33701-4818 | |
(727) 823-1111 | |
(727) 823-4153 |
Full Name | Dr Wong, Med-ped, P.a. |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 461 7th Ave S, St Petersburg, Florida |
Authorized Official Name and Position | Danita Roberta Wongchantara (OWNER/PRESIDENT) |
Authorized Official Contact | 7278231111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr Wong, Med-ped, P.a. 461 7th Ave S Dr Wong, Med-ped, P.a. St Petersburg FL 33701-4818 Ph: (727) 823-1111 | Dr Wong, Med-ped, P.a. 461 7th Ave S Dr Wong, Med-ped, P.a. St Petersburg FL 33701-4818 Ph: (727) 823-1111 |
NPI Number | 1205867975 |
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Provider Enumeration Date | 07/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205867975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME0076151 (Florida) | Primary |
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