MEDICARE: XIJUN LIANG

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	171100000X	Acupuncturist	AP4062	FL

General Provider Information

NPI Number	:	1275172561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIJUN LIANG

Provider Business Mailing Address
First Line	:	40 FAIRWAY DR
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-1854
Country	:	US
Telephone Number	:	954-428-6999
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 FAIRWAY DR
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-1854
Country	:	US
Telephone Number	:	954-428-6999
Fax Number	:

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

Provider Enumeration Date	:	01/03/2020
Last Update Date	:	01/03/2020

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Directions to “ XIJUN LIANG ” Practice Location

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