Provider Demographics
NPI:1376875096
Name:YUAN, WEIHONG (AP)
Entity Type:Individual
Prefix:
First Name:WEIHONG
Middle Name:
Last Name:YUAN
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 1:7700 CONGRESS AVE
Mailing Address - Street 2:SUITE 1135
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1352
Mailing Address - Country:US
Mailing Address - Phone:561-998-7588
Mailing Address - Fax:561-998-7558
Practice Address - Street 1:7700 CONGRESS AVE
Practice Address - Street 2:SUITE 1135
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1352
Practice Address - Country:US
Practice Address - Phone:561-998-7588
Practice Address - Fax:561-998-7558
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2695171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist