Provider Demographics
NPI:1982365680
Name:ZHENG, YONGLAN (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:YONGLAN
Middle Name:
Last Name:ZHENG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1166 W NEWPORT CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-7739
Mailing Address - Country:US
Mailing Address - Phone:954-782-7701
Mailing Address - Fax:954-782-9596
Practice Address - Street 1:1166 W NEWPORT CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-7739
Practice Address - Country:US
Practice Address - Phone:954-782-7701
Practice Address - Fax:954-782-9596
Is Sole Proprietor?:No
Enumeration Date:2022-01-05
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9117830363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant