Search › Florida › 225700000X
Bo Gong
NPI 1407115835 · on the registry since 2012 · sole proprietor
Practice
- Address
- 6559 N Wickham Rd # C-103
Melbourne, FL 32940 - Phone
- (407) 861-6966
Additional practice sites
- 2579 Oak St, Kissimmee, FL
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 390200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida