Healthcare Provider Details

I. General information

NPI: 1801030655
Provider Name (Legal Business Name): ZHONGWEI LIU A.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2009
Last Update Date: 04/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 MYRTLE TER
NAPLES FL
34103-2814
US

IV. Provider business mailing address

803 MYRTLE TER
NAPLES FL
34103-2814
US

V. Phone/Fax

Practice location:
  • Phone: 239-403-9077
  • Fax: 239-643-0737
Mailing address:
  • Phone: 239-403-9077
  • Fax: 239-643-0737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP 631
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: