MEDICARE: MS. XIAOYU DING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZC0500X	Cytopathology Physician	04227226	FL

General Provider Information

NPI Number	:	1003470998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. XIAOYU DING MD

Provider Business Mailing Address
First Line	:	12201 WOOD DUCK PL
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33617-1300
Country	:	US
Telephone Number	:	919-619-8027
Fax Number	:

Provider Business Practice Location Address
First Line	:	12201 WOOD DUCK PL
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33617-1300
Country	:	US
Telephone Number	:	919-619-8027
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2019
Last Update Date	:	04/25/2019

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