Healthcare Provider Details

I. General information

NPI: 1053646448
Provider Name (Legal Business Name): CYNTHIA XIN-XIA ZHANG AP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2009
Last Update Date: 10/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 LEE WAGENER BLVD SUITE 356
FT LAUDERDALE FL
33315-3570
US

IV. Provider business mailing address

787 SAINT ALBANS DR
BOCA RATON FL
33486-1522
US

V. Phone/Fax

Practice location:
  • Phone: 561-414-0715
  • Fax: 954-721-8843
Mailing address:
  • Phone: 561-414-0715
  • Fax: 954-721-8843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP 2736
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: