location
search-icon
person
Mr. Bo Gong
Student in an Organized Health Care Education/Training Program in Melbourne, Florida
NPI 1407115835

Bo Gong is a Student in an Organized Health Care Education/Training Program based in Kissimmee, FL. Bo Gong practices in Melbourne, FL. The NPI Number for Bo Gong is 1407115835 and holds a License No. MA68483 (Florida).

The current practice location address for Bo Gong is 6559 N Wickham Rd # C-103, Melbourne, FL and can be reached out via phone at 407-861-6966.

Location: 6559 N Wickham Rd # C-103, Melbourne, FL, 34744-4946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407115835
Provider Name
Bo Gong
Credential
Provider Entity Type
Individual
Gender
Male
Address
6559 N Wickham Rd # C-103, Melbourne, FL, 34744-4946
Phone Number
407-861-6966
Fax Number
Provider Enumeration Date
05/04/2012
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
6559 N Wickham Rd # C-103
City
Melbourne
State
Florida
Zip
32940-2052
Phone Number
407-861-6966
Fax Number
person
Provider Business Mailing Address Details
Address
6559 N Wickham Rd # C-103
City
Melbourne
State
Florida
Zip
32940-2052
Phone Number
407-861-6966
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA68483 (Florida)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MA68483 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.