Provider Demographics
NPI:1386867067
Name:WANG, ZUOZHEN (AP, DOM)
Entity Type:Individual
Prefix:
First Name:ZUOZHEN
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:AP, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 OAKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-2015
Mailing Address - Country:US
Mailing Address - Phone:727-460-9989
Mailing Address - Fax:727-577-9888
Practice Address - Street 1:9365 US HIGHWAY 19 N
Practice Address - Street 2:SUITE C
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-5400
Practice Address - Country:US
Practice Address - Phone:727-577-9888
Practice Address - Fax:727-577-9888
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP-1438171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist