Larry T. Wong, D.O., P.A. in Panama City - Surgery

Larry T. Wong, D.O., P.A. - NPI 1376715409

Larry T. Wong, D.O., P.A. is a Surgery in Panama City, Florida. Larry T. Wong, D.O., P.A. practices all healthcare services and medical treatments related to Surgery. The NPI Number for Larry T. Wong, D.O., P.A. is 1376715409. The last update date is 2012-10-15.

Larry T. Wong, D.O., P.A.'s current location address is 502 N Macarthur Ave, Panama City, Florida. You can contact this provider via phone number 8502151080 and fax number 8502151086. The mailing address for Larry T. Wong, D.O., P.A. is 502 N Macarthur Ave, Panama City, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Larry T. Wong, D.O., P.A.
Address 502 N Macarthur Ave, Panama City, Florida
Phone Number 8502151080
Fax Number 8502151086
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Wong T Larry
Credentials D.O.
Telephone Number 8502151080

NPI Number Detail

NPI Number 1376715409
Provider Enumeration Date 2008-03-28
Last Updated Date 2012-10-15

Provider Mailing Address Detail

Address 502 N Macarthur Ave
City Panama City
State Florida (FL)
Post Code 324013654
Phone Number 8502151080
Fax Number 8502151086

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No OS9154
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
48027Y MEDICARE PROVIDER NUMBER
270357200 FL --
48027 BLUE CROSS/BLUE SHIELD

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FAQs about Larry T. Wong, D.O., P.A.

What is the Larry T. Wong, D.O., P.A.'s 1376715409?

The Larry T. Wong, D.O., P.A.'s NPI (National Provider Identifier) Number is 1376715409. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Larry T. Wong, D.O., P.A. is located?

The Larry T. Wong, D.O., P.A. is situated at the following address: 502 N Macarthur Ave, Panama City, FL, 324013654.

What is the Larry T. Wong, D.O., P.A.'s area of specialization and corresponding taxonomy classification?

The Larry T. Wong, D.O., P.A.'s specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.

On what date was the 1376715409 assigned to Larry T. Wong, D.O., P.A.?

The Larry T. Wong, D.O., P.A. was issued its 1376715409 on 2008-03-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Larry T. Wong, D.O., P.A. most recently updated or revised?

The information pertaining to Larry T. Wong, D.O., P.A., including its address, specialty, and other relevant details, was last updated or revised on 2012-10-15.

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