Individual
HAI YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6838 HUNTINGTON HILLS BLVD, LAKELAND, FL 33810-5378
(863) 899-3621
Mailing address
6838 HUNTINGTON HILLS BLVD, LAKELAND, FL 33810-5378
(863) 899-3621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT12589
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT12589
LICENSE NO
FL
Enumeration date
03/01/2010
Last updated
03/01/2010
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