# MARY XIAOLIN TAN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528612561
- **Authorized official:** XIAOLIN TAN (ACUPUNCTURIST)
- **Authorized official phone:** (305) 665-5056

## Contact information

- **Practice address:** 6601 SW 80TH ST STE 113, MIAMI, FL 33143-4661
- **Practice address phone:** (305) 665-5056
- **Mailing address:** 6601 SW 80TH ST STE 113, MIAMI, FL 33143-4661
- **Mailing address phone:** (305) 665-5056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2019
- **Last updated:** 07/29/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1588993364 | NPI | FL |