Organization Active NPI

Cyril C Wong LLC

  • Pediatrics Physician
  • Spring Hill, FL
National Provider Identifier
1801939269
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME66960 Issued in FL
Legal business name
CYRIL C WONG LLC
Practice address
11009 Hearth Rd
Spring Hill, FL 34608-3723
Phone
(352) 688-5700
Fax
(352) 688-5548
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Mrs. Elana Wong
Title
President
Phone
(352) 688-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME66960 FL Primary

Addresses

Primary practice location

11009 Hearth Rd
Spring Hill, FL 34608-3723

Mailing address

PO Box 15430
Brooksville, FL 34604-0118
Phone (352) 597-7373

Other identifiers 1

IdentifierTypeStateIssuer
003500500MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1801939269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15430",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346040118",
            "telephone_number": "352-597-7373",
            "fax_number": "352-597-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11009 HEARTH RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346083723",
            "telephone_number": "352-688-5700",
            "fax_number": "352-688-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYRIL C WONG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ELANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-688-5700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME66960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003500500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.