Healthcare Provider Details

I. General information

NPI: 1780756650
Provider Name (Legal Business Name): CHONGYI ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7025 BERACASA WAY STE 202B
BOCA RATON FL
33433-3444
US

IV. Provider business mailing address

7025 BERACASA WAY STE 202B
BOCA RATON FL
33433-3444
US

V. Phone/Fax

Practice location:
  • Phone: 561-347-8089
  • Fax:
Mailing address:
  • Phone: 561-347-8089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number0000480
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: