Provider Demographics
NPI:1205697570
Name:CAO, XIONGWEI (DIPL O M)
Entity type:Individual
Prefix:
First Name:XIONGWEI
Middle Name:
Last Name:CAO
Suffix:
Gender:M
Credentials:DIPL O M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2358 BARONSMEDE CT
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4680
Mailing Address - Country:US
Mailing Address - Phone:407-618-3262
Mailing Address - Fax:
Practice Address - Street 1:120 GATLIN AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6908
Practice Address - Country:US
Practice Address - Phone:407-851-2533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4551171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist