| NPI | 1528241304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM S. WONG Doctor 863-686-1081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2496) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2008-01-11 |