Ronnie Q. Wong, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME125417 Issued in FL

Practice address

500 Vonderburg Dr
Ste 311W
Brandon, FL 33511-5978

Phone

(813) 654-2445

Fax

(813) 654-9885

NPI assigned

Jun 8, 2010

Last updated

Dec 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1215257779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR",
            "address_2": "STE 311W",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115978",
            "telephone_number": "813-654-2445",
            "fax_number": "813-654-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR",
            "address_2": "STE 311W",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115978",
            "telephone_number": "813-654-2445",
            "fax_number": "813-654-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "RONNIE",
        "middle_name": "Q.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME125417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Christine Wombles, PMHNP
• Womens Care Florida LLC
• Womens Diagnostic Center, Inc
• Cynthia Ming Wai Wong, BMBS
• Lindsey Wong, PA-C
• Allyson Wood
• Julie Wood
• Wachena Woodard, MA 43333
• Barbara Mahoney Woodke, ARNP
• Damien Woodring

• Family Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.