Tzewan Wong MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0054738 Issued in FL

Legal business name

TZEWAN WONG MD PA

Practice address

10420 SW 77TH Ave
100
Pinecrest, FL 33156-3771

Phone

(305) 668-4484

Fax

(305) 668-4994

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tzewan Wong, MD

Title

Doctor

Phone

(305) 668-4484

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1700806312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 SW 77TH AVE",
            "address_2": "100",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563771",
            "telephone_number": "305-668-4484",
            "fax_number": "305-668-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 SW 77TH AVE",
            "address_2": "100",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563771",
            "telephone_number": "305-668-4484",
            "fax_number": "305-668-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TZEWAN WONG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "TZEWAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "305-668-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0054738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042867100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "08766",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "208767",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Pinecrest, FL
• Providers in Pinecrest, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.