Healthcare Provider Details

I. General information

NPI: 1093384539
Provider Name (Legal Business Name): BI ANG ZHENG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BIANG ZHENG MD

II. Dates (important events)

Enumeration Date: 06/20/2021
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 US HIGHWAY 27 S
LAKE PLACID FL
33852-7904
US

IV. Provider business mailing address

201 US HIGHWAY 27 S
LAKE PLACID FL
33852-7904
US

V. Phone/Fax

Practice location:
  • Phone: 634-656-2008
  • Fax:
Mailing address:
  • Phone: 863-465-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME165348
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: