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Individual

SHUDONG WANG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
A.P.

Contact information

Practice address
4001 N OCEAN DR, SUITE 206, FT LAUDERDALE, FL 33308-5928
(954) 772-9696
(954) 772-9696
Mailing address
4001 N OCEAN DR, SUITE 206, FT LAUDERDALE, FL 33308-5928
(954) 772-9696
(954) 772-9696

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 1272
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C003M
BC/BS PROVIDER ID
FL
Enumeration date
04/19/2006
Last updated
07/08/2007
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