Healthcare Provider Details

I. General information

NPI: 1699716605
Provider Name (Legal Business Name): SHIH-WEN HUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SHIH-WEN HUANG

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

PO BOX 918025
ORLANDO FL
32891-8025
US

V. Phone/Fax

Practice location:
  • Phone: 352-392-4037
  • Fax: 352-392-9802
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberME44175
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: