Provider Demographics
NPI:1740746577
Name:ZHAO, WEI TONG (AP3968)
Entity Type:Individual
Prefix:MRS
First Name:WEI
Middle Name:TONG
Last Name:ZHAO
Suffix:
Gender:F
Credentials:AP3968
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5368 LONESOME DOVE DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-4624
Mailing Address - Country:US
Mailing Address - Phone:407-927-1091
Mailing Address - Fax:
Practice Address - Street 1:7932 W SAND LAKE RD STE 200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7299
Practice Address - Country:US
Practice Address - Phone:407-927-1071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP968171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist