Wong, Ann Marie Deveras

Wong, Ann Marie Deveras is an individual health care provider with primary practice located at 1801 Ne 123Rd St Suite 414, North Miami FL 33181-2817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wong, Ann Marie Deveras can be contacted via phone (305) 981-0600.

Contact Information

Primary practice address
1801 Ne 123Rd St Suite 414 North Miami FL 33181-2817
Phone: (305) 981-0600
Fax: (305) 981-2700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 204659 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME 108078 Florida

Profile Details

NPI number 1093704769
LBN Legal business name Wong, Ann Marie Deveras
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jun 10th, 2019 - about 5 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 1093704769 NPPES
Florida MEDICAID 002812400

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