MEDICARE: AO FANG

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	4649	FL

General Provider Information

NPI Number	:	1568343432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AO FANG

Provider Business Mailing Address
First Line	:	8150 BAUTISTA WAY
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-8178
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4047 OKEECHOBEE BLVD STE 113
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3236
Country	:	US
Telephone Number	:	561-640-3986
Fax Number	:

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

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	09/09/2025

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Directions to “ AO FANG ” Practice Location

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