Healthcare Provider Details

I. General information

NPI: 1336272608
Provider Name (Legal Business Name): ZHIFENG HUO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 09/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14932 PINES BLVD
PEMBROKE PINES FL
33027-1213
US

IV. Provider business mailing address

16766 SW 51ST ST
MIRAMAR FL
33027-4917
US

V. Phone/Fax

Practice location:
  • Phone: 954-362-4106
  • Fax: 954-362-4106
Mailing address:
  • Phone: 954-235-5361
  • Fax: 954-235-5361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberME80400
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: