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NPI Code Detail

MEDICARE: JIABAO ZHANG MSW, RCSWI

MEDICARE: JIABAO ZHANG MSW, RCSWI
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
11041C0700XClinical Social WorkerISW20721FL

General Provider Information

NPI Number : 1083101687
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIABAO ZHANG MSW, RCSWI
Provider Business Mailing Address
First Line : 6824 GRIFFIN RD
Second Line :
City : DAVIE
State : FL
Zip : 33314-4341
Country : US
Telephone Number : 754-248-9589
Fax Number :
Provider Business Practice Location Address
First Line : 6824 GRIFFIN RD
Second Line :
City : DAVIE
State : FL
Zip : 33314-4341
Country : US
Telephone Number : 754-248-9589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2018
Last Update Date : 12/06/2024

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