Healthcare Provider Details

I. General information

NPI: 1174660625
Provider Name (Legal Business Name): HSIU-HUANG HUANG L. ACCUPUNTURIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18090 COLLINS AVE SUITE#T18
SUNNY ISLES BEACH FL
33160-1917
US

IV. Provider business mailing address

18090 COLLINS AVEUNUE SUITE #T18
SUNNY ISLES BEACH FL
33160
US

V. Phone/Fax

Practice location:
  • Phone: 305-682-9290
  • Fax: 305-682-9290
Mailing address:
  • Phone: 305-682-9290
  • Fax: 305-682-9290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP 1503
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: