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1336710169
IVY WONG
HOLLYWOOD, FL
NPI
1336710169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9112611)
Enumeration Date
2021-07-02
Last Update Date
2023-11-20
Business Address
IVY WONG PA-C
1150 N 35TH AVE STE 540
HOLLYWOOD, FL 33021-5431
Phone number: 954-265-2750
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Mailing Address
IVY WONG PA-C
2900 CORPORATE WAY DOOR D
MIRAMAR, FL 33025-3925
Phone number: 954-276-5685
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