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NPI Code Detail

MEDICARE: RAYWYN TEANAU YAP A.P

MEDICARE:   RAYWYN TEANAU YAP  A.P
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAP2851FL

General Provider Information

NPI Number : 1073827903
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYWYN TEANAU YAP A.P
Provider Business Mailing Address
First Line : 20220 SW 49TH CT
Second Line :
City : SOUTHWEST RANCHES
State : FL
Zip : 33332-1074
Country : US
Telephone Number : 954-639-3541
Fax Number :
Provider Business Practice Location Address
First Line : 17160 ROYAL PALM BLVD
Second Line :
City : WESTON
State : FL
Zip : 33326-2395
Country : US
Telephone Number : 954-430-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2010
Last Update Date : 07/23/2013

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Directions to “ RAYWYN TEANAU YAP A.P” Practice Location

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