| Yu Ho Wong, M.d, P.a | |
|
557 Health Blvd Suite 102 Daytona Beach FL 32114 | |
| (386) 252-0501 | |
| (386) 254-0652 |
| Full Name | Yu Ho Wong, M.d, P.a |
|---|---|
| Speciality | Internal Medicine |
| Location | 557 Health Blvd, Daytona Beach, Florida |
| Authorized Official Name and Position | Yu Ho Wong (PRESIDENT) |
| Authorized Official Contact | 3862520501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yu Ho Wong, M.d, P.a 557 Health Blvd Suite 102 Daytona Beach FL 32114 Ph: (386) 252-0501 | Yu Ho Wong, M.d, P.a 557 Health Blvd Suite 102 Daytona Beach FL 32114 Ph: (386) 252-0501 |
| NPI Number | 1821022807 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 10/09/2007 |
| Medicare PECOS PAC ID | 1557515558 |
|---|---|
| Medicare Enrollment ID | O20130128000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821022807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME-68825 (Florida) | Primary |
| Provider Name | Yu Ho Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487842563 PECOS PAC ID: 2163448556 Enrollment ID: I20051014000385 |
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