Wang, Gordon K

Wang, Gordon K is an sole proprietor health care provider with primary practice located at 100 Madrid Blvd 513, Punta Gorda FL 33950-7968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wang, Gordon K can be contacted via phone (941) 505-0974.

Contact Information

Primary practice address
100 Madrid Blvd 513 Punta Gorda FL 33950-7968
Phone: (941) 505-0974
Fax: (941) 637-9000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0072508 Florida

Profile Details

NPI number 1174517205
LBN Legal business name Wang, Gordon K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2005
Last updated Jun 23rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174517205 NPPES
Florida Other 44390 BCBS
Florida MEDICAID 266939100 BCBS

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