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Next Update: Thursday, December 19, 2024 2:50 AM CST
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TAN, MABLE WONG
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| 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) |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Santo Tomas, Fac Of Med And Surg, Manila, Philippines |
| Graduated: |
4 /
1988 |
| CME Year: |
2015 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Contact licensee |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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| 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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