Provider Demographics
NPI:1053646448
Name:ZHANG, CYNTHIA XIN-XIA (AP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:XIN-XIA
Last Name:ZHANG
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 1:787 SAINT ALBANS DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-1522
Mailing Address - Country:US
Mailing Address - Phone:561-414-0715
Mailing Address - Fax:954-721-8843
Practice Address - Street 1:1100 LEE WAGENER BLVD
Practice Address - Street 2:SUITE 356
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33315-3570
Practice Address - Country:US
Practice Address - Phone:561-414-0715
Practice Address - Fax:954-721-8843
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2736171100000X
175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175L00000XOther Service ProvidersHomeopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL270841141OtherBLUE CROSS INSURANCE PROVIDER REGISTRATION