MEDICARE: QIAN XIA A.P., D. O. M.

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
1	171100000X	Acupuncturist	AP2256	FL

General Provider Information

NPI Number	:	1083766612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QIAN XIA A.P., D. O. M.

Provider Business Mailing Address
First Line	:	5762 WILES RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2156
Country	:	US
Telephone Number	:	954-822-4886
Fax Number	:	954-255-8378

Provider Business Practice Location Address
First Line	:	5762 WILES RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2156
Country	:	US
Telephone Number	:	954-822-4886
Fax Number	:	954-255-8378

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	07/08/2007

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