Provider Demographics
NPI:1073827903
Name:YAP, RAYWYN TEANAU (AP)
Entity Type:Individual
Prefix:
First Name:RAYWYN
Middle Name:TEANAU
Last Name:YAP
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 1:20220 SW 49TH CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33332-1074
Mailing Address - Country:US
Mailing Address - Phone:954-639-3541
Mailing Address - Fax:
Practice Address - Street 1:17160 ROYAL PALM BLVD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-2395
Practice Address - Country:US
Practice Address - Phone:954-430-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2851171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist