Provider Demographics
NPI:1083766612
Name:XIA, QIAN (AP, D O M)
Entity Type:Individual
Prefix:
First Name:QIAN
Middle Name:
Last Name:XIA
Suffix:
Gender:F
Credentials:AP, D O M
Other - Prefix:MS
Other - First Name:VIVIANNE
Other - Middle Name:
Other - Last Name:XIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AP, DIPL O M
Mailing Address - Street 1:5762 WILES RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2156
Mailing Address - Country:US
Mailing Address - Phone:954-822-4886
Mailing Address - Fax:954-255-8378
Practice Address - Street 1:5762 WILES RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2156
Practice Address - Country:US
Practice Address - Phone:954-822-4886
Practice Address - Fax:954-255-8378
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2256171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist