Provider Demographics
NPI:1215602669
Name:YIP, BECKY YOUN (AP)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:YOUN
Last Name:YIP
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11251 S ORANGE BLOSSOM TRL STE 101
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-9297
Mailing Address - Country:US
Mailing Address - Phone:407-751-2192
Mailing Address - Fax:407-542-2243
Practice Address - Street 1:11251 S ORANGE BLOSSOM TRL STE 101
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-9297
Practice Address - Country:US
Practice Address - Phone:407-751-2192
Practice Address - Fax:407-542-2243
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAP4252171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist