CRISTY A WONG

LONGWOOD, FL
NPI1639302169
Other NameCRISTY ANNET LEON HIM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: FL  ME105408)
Additional Taxonomies208000000X Pediatrics
(Licence: FL  ME105408)
Enumeration Date2009-09-01
Last Update Date2014-10-09
Business Address
-- CRISTY A WONG MD
521 WEST STATE ROAD 434, SUITE 101 PEDIATRIC & ADOLESCENT MED OF SEMINOLE, IIN ASSOC WITH NEMOURS
LONGWOOD, FL 32750-4952
Phone number: 407-830-5437
Mailing Address
-- CRISTY A WONG MD
PO BOX 191 PROVIDER ENROLLMENT DEPARTMENT
ROCKLAND, DE 19732-0191
Phone number: 302-651-4488