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:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972003499 | NPPES |
Florida | MEDICAID | 024233400 |
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