Provider Demographics
NPI:1750549762
Name:TANG, DAIYI (LAC)
Entity type:Individual
Prefix:DR
First Name:DAIYI
Middle Name:
Last Name:TANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8603 S DIXIE HWY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7807
Mailing Address - Country:US
Mailing Address - Phone:305-720-9895
Mailing Address - Fax:305-661-4771
Practice Address - Street 1:8603 S DIXIE HWY
Practice Address - Street 2:SUITE 208
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-7807
Practice Address - Country:US
Practice Address - Phone:305-720-9895
Practice Address - Fax:305-661-4771
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3103171100000X
MN1322171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist