Gordon K Wang in Punta Gorda - Family Medicine

Gordon K Wang - NPI 1174517205

Gordon K Wang is a Family Medicine in Punta Gorda, Florida. Gordon K Wang practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gordon K Wang is 1174517205. The last update date is 2011-06-23.

Gordon K Wang's current location address is 100 Madrid Blvd, Punta Gorda, Florida. You can contact this provider via phone number 9415050974 and fax number 9416379000. The mailing address for Gordon K Wang is 100 Madrid Blvd, Punta Gorda, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon K Wang
Address 100 Madrid Blvd, Punta Gorda, Florida
Phone Number 9415050974
Fax Number 9416379000
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1174517205
Provider Enumeration Date 2005-09-05
Last Updated Date 2011-06-23

Provider Mailing Address Detail

Address 100 Madrid Blvd
City Punta Gorda
State Florida (FL)
Post Code 339507968
Phone Number 9415050974
Fax Number 9416379000

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No ME0072508
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
44390 FL BCBS
266939100 FL --

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FAQs about Gordon K Wang

What is the unique identifier code issued to Gordon K Wang by the Centers for Medicare & Medicaid Services (CMS)?

The Gordon K Wang has been assigned the NPI (National Provider Identifier) 1174517205. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Gordon K Wang is geographically located?

The Gordon K Wang is physically situated at the following location: 100 Madrid Blvd, Punta Gorda, FL, 339507968.

What is Gordon K Wang's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gordon K Wang is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did Gordon K Wang receive its 1174517205 assignment from the Centers for Medicare & Medicaid Services?

The Gordon K Wang was assigned its 1174517205 on 2005-09-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Gordon K Wang most recently updated or revised?

The information pertaining to Gordon K Wang, including its address, specialty, and other relevant details, was last updated or revised on 2011-06-23.

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