TZEWAN WONG MD PA
Osteopathic Medicine at 77 Ave, Miami, FL

License number
Florida ME0054738
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. TZEWAN WONG MD
Title: DOCTOR
Phone: (305) 668-4484
Address
Address
10420 SW 77Th Ave, Miami, FL 33156
National Provider ID: 1700806312
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TZEWAN WONG, MD, PA

Miami, FL

Industry:
Internist
Doing business as:
Tzewan Wong MD
Registration:
Jul 18, 2002
Phone:
(305) 670-0225 (Phone)
Addresses:
10420 SW 77 Ave SUITE 100, Miami, FL 33156 (Physical)
9780 SW 145 St, Miami, FL 33176 (Mailing)
State ID:
P02000078294
Business type:
Florida Profit Corporation
President, Director:
Tzewan Md Wong (President, Director), 9780 SW 145 St, Miami, FL 33176 (Physical)
Agent:
Tzewan Wong,9780 SW 145 St, Miami, FL 33176 (Physical)
EIN:
680513233

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