WING SURGICAL PA NPI 1871811646

NPI Information

NPI: 1871811646
Provider Name: WING SURGICAL PA
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
309 N MANGOUSTINE AVE
SANFORD, FL
ZIP 32771
Phone: (407) 322-7761
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WING SURGICAL PA is a plastic and reconstructive surgery surgery in Sanford, FL. The provider is a surgeon who specializes in plastic and reconstructive surgery. WING SURGICAL PA NPI is 1871811646. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

309 N MANGOUSTINE AVE
SANFORD, FL
ZIP 32771-098
Phone: (407) 322-7761
Fax: (407) 322-7763

The provider's authorized official is Kenneth Meldrum Wing .
The authorized official title is Physician and has the following contact phone number (407) 322-7761.

The enumeration date for this NPI number is 5/4/2010 and was last updated on 5/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	602761	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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