JOHNNY T WONG (NPI# 1306187281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306187281 |
Entity Type | Individual |
Full Name | JOHNNY T WONG |
Credential | LMT |
Practice Address |
2571 W Eau Gallie Blvd Ste 3 Melbourne FL 32935-8302 |
Practice Telephone | 3218060203 |
Mailing Telephone | 3218060203 |
Enumeration Date | 2013-03-02 |
Last Update Date | 2013-03-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA67692 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811497423 | Johnny Wong | Technician | 5115 Spring Mountain Rd Ste 221, Las Vegas, NV 89146-8720 | 2018-02-20 |
1558897793 | Johnny Wong | Pharmacist | 300 Pullman St, Building G, 2nd Floor, Livermore, CA 94551-9756 | 2017-05-09 |
1053865121 | Johnny Wong | Pharmacist | 200 Corporate Blvd S, Yonkers, NY 10701-6806 | 2016-08-06 |
1184089294 | Johnny Ho Yin Wong | Neurological Surgery | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2015-12-17 |
1457614307 | Johnny Wong | Pharmacist | 419 35th Ave S, Seattle, WA 98144-2604 | 2012-06-15 |
1477784544 | Johnny Wong | Pharmacist | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2009-08-06 |
1770799025 | Johnny V Wong | Dentist | 1501 Superior Ave, Suite 200, Newport Beach, CA 92663-3600 | 2007-05-15 |
1942340583 | Johnny Chunkau Wong | Dentist | 181 E 18th St, Suite Number D, Costa Mesa, CA 92627-3069 | 2007-02-06 |
1588712483 | Johnny Kar Nin Wong | Optometrist | 1635 Divisadero St, San Francisco, CA 94115-3036 | 2007-01-08 |
1518034735 | Johnny Wong | Family Medicine | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2006-11-30 |
Street Address |
2571 W EAU GALLIE BLVD STE 3 |
City | MELBOURNE |
State | FL |
Zip Code | 32935-8302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811204761 | Sandra C Wong | Acupuncturist | 2571 W Eau Gallie Blvd Ste 3, Melbourne, FL 32935-8302 | 2010-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
Find all providers in zip 32935 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376142638 | Yu Tung Wong | Massage Therapist | 2710 Cozumel Dr Apt 1804, Melbourne, FL 32935-8196 | 2020-10-19 |
1841805066 | Jamie Brott | Massage Therapist | 3635 Misty Oak Dr Apt 205, Melbourne, FL 32901-8709 | 2020-09-14 |
1730662883 | Donna Jo Billie Secura | Massage Therapist | 1738 Bluebird Ct, Melbourne, FL 32935-4550 | 2018-09-13 |
1497259618 | Alexis Janeah Mccreary | Massage Therapist | 3020 Bennett Ln Apt 307, Melbourne, FL 32935-2296 | 2018-03-21 |
1508263070 | Trisha Schmalhofer | Massage Therapist | 466 N Harbor City Blvd, Melbourne, FL 32935-6858 | 2014-11-29 |
1649679127 | Tamara Gale | Massage Therapist | 260 San Paulo Ct, Melbourne, FL 32904-3944 | 2014-08-20 |
1588088256 | Temples Holistic Wellness, LLC | Massage Therapist | 2263 W New Haven Ave # 221, Melbourne, FL 32904-3805 | 2014-02-14 |
1639412182 | Roy Alexander Llera | Massage Therapist | 18 W Avenue B, Suite 2, Melbourne, FL 32901-1219 | 2013-04-03 |
1548547367 | Kenneth Edwin Muck | Massage Therapist | 1490 Avocado Ave, Melbourne, FL 32935-6532 | 2011-11-08 |
1043509011 | Gabriele's Therapeutic Massage Inc | Massage Therapist | 3026 Park Village Way, Melbourne, FL 32935-2266 | 2011-03-30 |
Find all providers in MELBOURNE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.