MEDICARE: DR. ZILAN HU AP, LAC, DOM

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

General Provider Information

NPI Number	:	1376999227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZILAN HU AP, LAC, DOM

Provider Business Mailing Address
First Line	:	1969 S ALAFAYA TRL STE 136
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-8732
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10967 LAKE UNDERHILL RD
Second Line	:	STE 135
City	:	ORLANDO
State	:	FL
Zip	:	32825-4455
Country	:	US
Telephone Number	:	407-325-4577
Fax Number	:

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

Provider Enumeration Date	:	05/10/2016
Last Update Date	:	04/01/2019

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