MEDICARE: TIANYI WEI 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
1	171100000X	Acupuncturist	AP3699	FL

General Provider Information

NPI Number	:	1265087241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIANYI WEI A.P.

Provider Business Mailing Address
First Line	:	4897 CYPRESS WOODS DR APT 6203
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-3555
Country	:	US
Telephone Number	:	404-625-4118
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 LAKE ELLENOR DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5721
Country	:	US
Telephone Number	:	407-888-8689
Fax Number	:

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

Provider Enumeration Date	:	08/06/2019
Last Update Date	:	08/06/2019

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Directions to “ TIANYI WEI A.P.” Practice Location

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