MEDICARE: YOUCHANG HU AP

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	AP 459	FL

General Provider Information

NPI Number	:	1619011335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOUCHANG HU AP

Provider Business Mailing Address
First Line	:	2135 SOUTH RIDGEWOOD AVE
Second Line	:
City	:	SOUTH DAYTONA
State	:	FL
Zip	:	32119-3015
Country	:	US
Telephone Number	:	386-760-2112
Fax Number	:	386-760-8722

Provider Business Practice Location Address
First Line	:	2135 SOUTH RIDGEWOOD AVE
Second Line	:
City	:	SOUTH DAYTONA
State	:	FL
Zip	:	32119-3015
Country	:	US
Telephone Number	:	386-760-2112
Fax Number	:	386-760-8722

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

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	07/08/2007

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Directions to “ YOUCHANG HU AP” Practice Location

Language	Start Address	Practice Location

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