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Contact Information

RUSSELL H WONG, MD
201 14TH ST SW
LARGO, FL33770-3133
 Phone: 727-588-5812
 Fax: 727-588-5911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ZD0900X 22 Physician/Pathology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for RUSSELL H WONG · (Male)

NPI # 1477628584
Status Active
Credentials MD
Entity Individual
Enumeration date 11/22/2006
Last updated 03/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME87050
Hospital affiliation(s)
  • BRANDON REGIONAL HOSPITAL - (Acute Care)
    119 OAKFIELD DR
    BRANDON, FL 33511
  • SOUTH BAY HOSPITAL - (Acute Care)
    4016 SUN CITY CENTER BLVD
    SUN CITY CENTER, FL 33573
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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