Organization
MARY XIAOLIN TAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIAOLIN TAN (ACUPUNCTURIST)
(305) 665-5056
Entity
Organization
Contact information
Practice address
6601 SW 80TH ST STE 113, MIAMI, FL 33143-4661
(305) 665-5056
Mailing address
6601 SW 80TH ST STE 113, MIAMI, FL 33143-4661
(305) 665-5056
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588993364
NPI
FL
Enumeration date
07/29/2019
Last updated
07/29/2019
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