Wong, Antonio H

Wong, Antonio H is an individual health care provider with primary practice located at 501 Nw 179Th Ave , Pembroke Pines FL 33029-2807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wong, Antonio H can be contacted via phone (954) 442-2828.

Contact Information

Primary practice address
501 Nw 179Th Ave Pembroke Pines FL 33029-2807
Phone: (954) 442-2828
Fax: (954) 442-3366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME62898 Florida

Profile Details

NPI number 1164460937
LBN Legal business name Wong, Antonio H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 23rd, 2013 - about 11 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 1164460937 NPPES
Florida MEDICAID 373222300

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