Wong, Cristy A
Wong, Cristy A is an individual health care provider with primary practice located at 521 West State Road 434, Suite 101 Pediatric & Adolescent Med Of Seminole, Iin Assoc With Nemours, Longwood FL 32750-4952. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Wong, Cristy A can be contacted via phone (407) 830-5437.Contact Information
Primary practice address
521 West State Road 434, Suite 101 Pediatric & Adolescent Med Of Seminole, Iin Assoc With Nemours
Longwood FL 32750-4952
Phone: (407) 830-5437
Fax: (407) 830-4907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME105408 | Florida |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME105408 | Florida |
Profile Details
| NPI number | 1639302169 |
|---|---|
| LBN Legal business name | Wong, Cristy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2009 |
| Last updated | Oct 9th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639302169 | NPPES |
| Florida | MEDICAID | '001444100 |
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