Provider Demographics
NPI:1114254968
Name:CHENG, YUK TONG (AP)
Entity Type:Individual
Prefix:
First Name:YUK TONG
Middle Name:
Last Name:CHENG
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 1:114 W UNDERWOOD ST STE A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1138
Mailing Address - Country:US
Mailing Address - Phone:407-885-8255
Mailing Address - Fax:
Practice Address - Street 1:114 W UNDERWOOD ST STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806
Practice Address - Country:US
Practice Address - Phone:407-885-8255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2716171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAP 2716OtherSTATE OF FLORIDA DEPARTMENT OF HEALTH MEDICAL LICENSE