Healthcare Provider Details

I. General information

NPI: 1972337111
Provider Name (Legal Business Name): ZHI LIANG HUO ACUPUNCTURIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6972 ALOMA AVE
WINTER PARK FL
32792-7009
US

IV. Provider business mailing address

6972 ALOMA AVE
WINTER PARK FL
32792-7009
US

V. Phone/Fax

Practice location:
  • Phone: 407-679-5868
  • Fax:
Mailing address:
  • Phone: 407-679-5868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number479
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: