Healthcare Provider Details

I. General information

NPI: 1043614373
Provider Name (Legal Business Name): XING ZHOU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 08/06/2021
Certification Date: 08/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4213 W HILLSBORO BLVD
COCONUT CREEK FL
33073-3210
US

IV. Provider business mailing address

4213 W HILLSBORO BLVD
COCONUT CREEK FL
33073-3210
US

V. Phone/Fax

Practice location:
  • Phone: 954-573-7181
  • Fax:
Mailing address:
  • Phone: 954-573-7181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP3586
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: