Wong, San

Wong, San is an sole proprietor health care provider with primary practice located at 8380 Riverwalk Park Blvd Ste 100 , Fort Myers FL 33919-8758. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Wong, San can be contacted via phone (239) 343-9960.

Contact Information

Primary practice address
8380 Riverwalk Park Blvd Ste 100 Fort Myers FL 33919-8758
Phone: (239) 343-9960
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X APRN9232935 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9232935 Florida

Profile Details

NPI number 1972003499
LBN Legal business name Wong, San
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2018
Last updated Jul 2nd, 2024 - about 2 months 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 1972003499 NPPES
Florida MEDICAID 024233400

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