Healthcare Provider Details

I. General information

NPI: 1487602645
Provider Name (Legal Business Name): DR. ZHENGUO DING
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7707 N UNIVERSITY DR STE 103
TAMARAC FL
33321-2954
US

IV. Provider business mailing address

7707 N UNIVERSITY DR STE 103
TAMARAC FL
33321-2954
US

V. Phone/Fax

Practice location:
  • Phone: 954-747-7800
  • Fax: 954-606-7679
Mailing address:
  • Phone: 954-747-7800
  • Fax: 954-606-7679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP1936
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: