Hailon Wong
Family Medicine Physician in Fort Myers, FL(View on Map)
Full Name
Hailon Wong
NPI Number
1194189852
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/08/2016
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
62649
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 2147
2780 CLEVELAND AVE STE 8709
City
Fort Myers
Fort Myers
State
FL
FL
Postal Code
33902-2147
33901-5858
Country
US
US
Telephone Number
(239) 343-3831
(239) 343-3831
Identifiers
Identifier
103174000
Identifier State
FL
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
hwong177645@Direct.leememorial.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
Y
Endpoint Location
Lee Memorial Health System2776 Cleveland AveFort Myers, FL339015864US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/30/2021
Provider Address
Other Family Medicine Physicians in Fort Myers, Florida:
John-paul Bettencourt DO, MPH, MBA, AAHIVS
Fort Myers, FLSpecialty: Family Medicine Physician (Primary)