Wong, Larry T

Wong, Larry T is an individual health care provider with primary practice located at 502 N Macarthur Ave Suite C, Panama City FL 32401-3636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wong, Larry T can be contacted via phone (850) 215-1080.

Contact Information

Primary practice address
502 N Macarthur Ave Suite C Panama City FL 32401-3636
Phone: (850) 215-1080
Fax: (850) 215-1086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS9154 Florida

Profile Details

NPI number 1689641599
LBN Legal business name Wong, Larry T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689641599 NPPES
Florida Other 48027 BLUE CROSS

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