Wong, Michelle

Wong, Michelle is an individual health care provider with primary practice located at 5955 Ponce De Leon Blvd , Coral Gables FL 33146-2423. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Wong, Michelle can be contacted via phone (305) 661-1515.

Contact Information

Primary practice address
5955 Ponce De Leon Blvd Coral Gables FL 33146-2423
Fax: (305) 662-3723
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2007012506 Missouri
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2007012506 Missouri
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME109858 Florida

Profile Details

NPI number 1255540704
LBN Legal business name Wong, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Oct 30th, 2015 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255540704 NPPES
Florida MEDICAID 003613200

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