Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Wong, MD

Individual provider Family Medicine Physician · NPI 1154946424

Paul Wong, MD is a Family Practice in Titusville, Florida. Qualified in 2018, 8 years ago. Practices with North Brevard Medical Support Inc, a 62-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
8
Licensed in
SC
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

250 Harrison St Fl 2ND
Titusville, FL 32780-5094
Phone: (321) 268-6868
Fax: (321) 267-2713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence LL84609 (SC)

Record details

NPI number1154946424
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2020
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address250 Harrison St Fl 2, Titusville, FL 32780-5094

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice North Brevard Medical Support Inc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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