Billy Sana Kong MD

NPI 1003804568 - Family Medicine - 207Q00000X

NPI Details
NPI 1003804568
Gender Male
Enumeration Date 10/10/2005
Last Updated 08/11/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1255 BRICE BLVD
BARTOW FL, 33830-6735, US
Phone (863) 519-8233
Fax (863) 519-8304
Business Location
1290 GOLFVIEW AVE
4TH FLOOR BILLING DEPARTMENT
BARTOW FL, 33830-6738, US
Phone (863) 519-7900
Fax (863) 519-7696
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME50150
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According to our database, Billy Sana Kong MD NPI is 1003804568, taxonomy code is 207Q00000X and license number is ME50150, license state is located at Florida. Billy Sana Kong MD physically located at 1255 Brice Blvd, Bartow FL, 33830-6735. NPI Number Billy Sana Kong MD has the Individual type.

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1003804568 NPI number is provided on an as is basis without warranty of any kind. 1003804568 is maintained by the National Plan & Provider Enumeration System. The contents of Billy Sana Kong MD are for informational purposes only.