Provider Demographics
NPI:1013180827
Name:LIAN, BITAO (AP)
Entity Type:Individual
Prefix:MS
First Name:BITAO
Middle Name:
Last Name:LIAN
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7003 NW 11TH PL
Mailing Address - Street 2:SUITE 5
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-3176
Mailing Address - Country:US
Mailing Address - Phone:352-331-0288
Mailing Address - Fax:
Practice Address - Street 1:7003 NW 11TH PL
Practice Address - Street 2:SUITE 5
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-3176
Practice Address - Country:US
Practice Address - Phone:352-331-0288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-12
Last Update Date:2008-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP518171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC0297OtherBLUE CROSS BLUE SHIELD