Provider Demographics
NPI:1811291511
Name:LIAU, BELINDA (AP)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:LIAU
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3817 LAKE EMMA RD
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3399
Mailing Address - Country:US
Mailing Address - Phone:407-833-9989
Mailing Address - Fax:
Practice Address - Street 1:3817 LAKE EMMA RD
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3399
Practice Address - Country:US
Practice Address - Phone:407-833-9989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1619171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist