Doctor Name: | DR. WILLIAM S WONG |
NPI Number: | 1003884917 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. P.A. |
License Number: | PO2496 |
Business Practice Address: | 927 S Florida Ave Lakeland, FL - 338031149 |
Business Phone Number: | 8636861081 |
Business Fax Number: | 8636876333 |
Mailing Address: | 927 S. Florida Avenue, LAKELAND |
State: | FL |
Postal Code: | 338031149 |
Phone Number: | 8636861081 |
Fax Number: | 8636876333 |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 09/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO2496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |