Healthcare Provider Details

I. General information

NPI: 1952353500
Provider Name (Legal Business Name): WACLION INTERNATIONAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 SW 57TH AVE SUITE 330-D
SOUTH MIAMI FL
33143-5528
US

IV. Provider business mailing address

7800 SW 57TH AVE SUITE 330-D
SOUTH MIAMI FL
33143-5528
US

V. Phone/Fax

Practice location:
  • Phone: 305-275-8573
  • Fax:
Mailing address:
  • Phone: 305-275-8573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP-0000314
License Number StateFL

VIII. Authorized Official

Name: MRS. ZONG LAN XU
Title or Position: OWNER
Credential: LIC. ACUPUNCTURIST
Phone: 305-275-8573