Wong, Jackson

Wong, Jackson is an sole proprietor health care provider with primary practice located at 1600 S Andrews Ave , Ft Lauderdale FL 33316-2510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Wong, Jackson can be contacted via phone (954) 468-8000.

Contact Information

Primary practice address
1600 S Andrews Ave Ft Lauderdale FL 33316-2510
Fax: (954) 468-8007
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME53128 Florida

Profile Details

NPI number 1568427813
LBN Legal business name Wong, Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Jul 13th, 2007 - about 17 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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