MEDICARE: MS. HUI FEN JIA CRNA, AP, DOM

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	367500000X	Certified Registered Nurse Anesthetist	ARNP9283927	FL
2	163WC0200X	Critical Care Medicine Registered Nurse	RN9283927	FL
3	171100000X	Acupuncturist	AP1601	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	ARNP9283927	OTHER	FL	LIC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427278787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HUI FEN JIA CRNA, AP, DOM

Provider Business Mailing Address
First Line	:	11224 ORANGE GROVE BLVD
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-9129
Country	:	US
Telephone Number	:	561-373-2280
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 W COMMERCIAL BLVD
Second Line	:	STE 5
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-3300
Country	:	US
Telephone Number	:	954-485-5666
Fax Number	:

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

Provider Enumeration Date	:	04/27/2007
Last Update Date	:	03/07/2017

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