Provider Demographics
NPI:1497984462
Name:YING ACUPUNCTURE AND WELLNESS CENTER
Entity Type:Organization
Organization Name:YING ACUPUNCTURE AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:YINGJUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DONG
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:561-470-1055
Mailing Address - Street 1:4163 NW 90TH AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-1751
Mailing Address - Country:US
Mailing Address - Phone:954-255-6984
Mailing Address - Fax:
Practice Address - Street 1:21685 STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1812
Practice Address - Country:US
Practice Address - Phone:561-470-1055
Practice Address - Fax:561-470-1455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAP2711OtherACUPUNCTURE PHYSICIAN