Wong, Andrew M

Wong, Andrew M is an individual health care provider with primary practice located at 3334 Capital Medical Blvd Ste 400 , Tallahassee FL 32308-4470. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Wong, Andrew M can be contacted via phone (850) 877-8174.

Contact Information

Primary practice address
3334 Capital Medical Blvd Ste 400 Tallahassee FL 32308-4470
Phone: (850) 877-8174
Fax: (850) 877-5636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME59819 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 050854 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 050854 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME59819 Florida

Profile Details

NPI number 1407859226
LBN Legal business name Wong, Andrew M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Nov 23rd, 2021 - about 3 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 1407859226 NPPES
Georgia MEDICAID 000932302B
Georgia MEDICAID 000932302A
Georgia MEDICAID 378584000

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