Larry T. Wong, D.O., P.A.

LBN: Larry T. Wong, D.O., P.A.
Larry T. Wong, D.O., P.A. is an health care organization with primary practice located at 502 N Macarthur Ave Suite C, Panama City FL 32401-3654. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Larry T. Wong, D.O., P.A. can be contacted via phone (850) 215-1080, or through Wong, Larry T via phone (850) 215-1080.

Contact Information

Primary practice address
502 N Macarthur Ave Suite C Panama City FL 32401-3654
Phone: (850) 215-1080
Fax: (850) 215-1086
Website:
Map and Directions
Authorized official contact:
Name: Wong, Larry T Doctor of Osteopathy (DO)
Phone: (850) 215-1080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS9154 Florida

Profile Details

NPI number 1376715409
LBN Legal business name Larry T. Wong, D.O., P.A.
DBA Doing business as
Authorized official Wong, Larry T Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2008
Last updated Oct 15th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376715409 NPPES
Other 48027Y MEDICARE PROVIDER NUMBER
MEDICAID 270357200 MEDICARE PROVIDER NUMBER
Other 48027 MEDICARE PROVIDER NUMBER

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