Fernando Wong Sam, MDOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

4576 Issued in FL

Practice address

1215 E Livingston St
Orlando, FL 32803-5401

Phone

(407) 885-8255

NPI assigned

Nov 14, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holistic Family Care LLC

  • Acupuncturist
  • Orlando, FL
  • NPI 1700376399
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1083438089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E LIVINGSTON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035401",
            "telephone_number": "352-222-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E LIVINGSTON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035401",
            "telephone_number": "407-885-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG SAM",
        "first_name": "FERNANDO",
        "credential": "MDOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4576",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "106005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://holisticfamily.care/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1215 E Livingston St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328035401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Womens Health Specialists of Central FL PL
• Brittany Won
• Daniel Jonhun Won, MD
• Wonder Pediatrics LLC
• Wonese Healthcare Inc
• Arturo NMN Wong
• Ashley Wong, MD
• Audrey Wong, APRN
• Bright Wong, M.D.
• Christian Wong, MD

• Acupuncturist in Orlando, FL
• Providers in Orlando, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.