MEDICARE: MISS YONGLAN ZHENG PA-C

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	363A00000X	Physician Assistant	PA9117830	FL

General Provider Information

NPI Number	:	1982365680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS YONGLAN ZHENG PA-C

Provider Business Mailing Address
First Line	:	1166 W NEWPORT CENTER DR STE 100
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-7739
Country	:	US
Telephone Number	:	954-782-7701
Fax Number	:	954-782-9596

Provider Business Practice Location Address
First Line	:	1166 W NEWPORT CENTER DR STE 100
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-7739
Country	:	US
Telephone Number	:	954-782-7701
Fax Number	:	954-782-9596

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

Provider Enumeration Date	:	01/05/2022
Last Update Date	:	11/22/2023

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