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NPI Code Detail

MEDICARE: JIAN HU M.D.

MEDICARE: JIAN HU M.D.
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
12084P0800XPsychiatry PhysicianME112670FL

General Provider Information

NPI Number : 1548419971
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIAN HU M.D.
Provider Business Mailing Address
First Line : 1608 SE 3RD AVENUE
Second Line : THIRD FLOOR CBO/PBS
City : FORT LAUDERDALE
State : FL
Zip : 33316
Country : US
Telephone Number : 954-847-4572
Fax Number : 954-847-4176
Provider Business Practice Location Address
First Line : 6401 NORTH FEDERAL HIGHWAY
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-1427
Country : US
Telephone Number : 954-776-8616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2008
Last Update Date : 10/25/2012

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