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Contact Information

ANTONIO H WONG, MD
501 NW 179TH AVE
PEMBROKE PINES, FL33029-2807
 Phone: 954-442-2828
 Fax: 954-442-3366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

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

NPI # 1164460937
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2006
Last updated 01/23/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME62898
  • FL Medicaid 373222300
Hospital affiliation(s)
  • MEMORIAL HOSPITAL WEST - (Acute Care)
    703 N FLAMINGO RD
    PEMBROKE PINES, FL 33028
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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