MEDICARE: AUTUMN NING 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	2084P0800X	Psychiatry Physician	MD425886	PA
2	2084P0800X	Psychiatry Physician	ME108872	FL

General Provider Information

NPI Number	:	1326035106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUTUMN NING MD

Provider Business Mailing Address
First Line	:	6705 RED ROAD
Second Line	:	611
City	:	CORAL GABLES
State	:	FL
Zip	:	33143
Country	:	US
Telephone Number	:	305-205-3188
Fax Number	:

Provider Business Practice Location Address
First Line	:	6705 RED ROAD
Second Line	:	611
City	:	CORAL GABLES
State	:	FL
Zip	:	33143
Country	:	US
Telephone Number	:	305-205-3188
Fax Number	:

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

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	06/24/2013

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Directions to “ AUTUMN NING MD” Practice Location

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