MEDICARE: XINING WANG

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	AP3577	FL

General Provider Information

NPI Number	:	1700310141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XINING WANG

Provider Business Mailing Address
First Line	:	1800 N FEDERAL HWY STE 110
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1011
Country	:	US
Telephone Number	:	954-772-9696
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 N FEDERAL HWY STE 110
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1011
Country	:	US
Telephone Number	:	954-772-9696
Fax Number	:

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

Provider Enumeration Date	:	04/12/2017
Last Update Date	:	08/02/2022

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Directions to “ XINING WANG ” Practice Location

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