Provider Demographics
NPI:1881010585
Name:ZANG, RICHARD C (AP)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:C
Last Name:ZANG
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1384 VERACRUZ LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-1738
Mailing Address - Country:US
Mailing Address - Phone:786-797-2221
Mailing Address - Fax:
Practice Address - Street 1:12251 TAFT ST
Practice Address - Street 2:SUITE #303
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-1901
Practice Address - Country:US
Practice Address - Phone:786-797-2221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-05
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2918171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist