Provider Demographics
NPI:1962859827
Name:XIAODONG HAN, AP. LLC
Entity Type:Organization
Organization Name:XIAODONG HAN, AP. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:XIAODONG
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:352-351-9373
Mailing Address - Street 1:1133 SE 18TH PL STE 3
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5404
Mailing Address - Country:US
Mailing Address - Phone:352-351-9373
Mailing Address - Fax:
Practice Address - Street 1:1133 SE 18TH PL STE 3
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5404
Practice Address - Country:US
Practice Address - Phone:352-351-9373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 752171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty