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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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TAN, MABLE WONG
Practice Address: 6900 SOUTHPOINT DRIVE NORTH
JACKSONVILLE FL 32216

Address last updated on 6/29/2014
Phone #: (904) 470-6900 x1255
Fax #: (904) 470-6901
County: NOT OKLAHOMA
License: 23424
Dated: 8/1/2003
Expires: 8/1/2015
License Type: Medical Doctor
Specialty: Internal Medicine
Geriatric Medicine (Internal Medicine)
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Santo Tomas, Fac Of Med And Surg, Manila, Philippines
Graduated: 4 / 1988
CME Year: 2015
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Yes
Medicaid: Contact licensee
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
6900 SOUTHPOINT DRIVE NORTH
JACKSONVILLE FL 32216

Phone #: (904) 470-6900 x1255
Fax #: (904) 470-6901
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat: 8:00AM - 5:00PM
Sun: 8:00AM - 5:00PM

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