Individual
DR. CHARNG-SHEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., A.P.
Contact information
Practice address
2501 S VOLUSIA AVE STE 200, ORANGE CITY, FL 32763-9134
(386) 774-6333
(386) 410-1603
Mailing address
2501 S VOLUSIA AVE STE 200, ORANGE CITY, FL 32763-9134
(386) 774-6333
(386) 410-1603
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AP544
FL
225100000X
Physical Therapist
Primary
PT7339
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162582100
US DEPT OF LABOR #
FL
01
—
1870210
MAILHANDLERS #
FL
01
—
3118880
AETNA # DOC
FL
01
—
593586094
TAX ID #
FL
01
—
63701045
CHAMPUS #
FL
01
—
C0582
BCBS ACU #
FL
01
—
K1325
MEDICARE
FL
01
—
Y7522
BCBS PT # DOC
FL
01
—
Y923D
BCBS FACILITY OC
FL
01
—
Y923L
BCBS FACILITY PO
FL
01
—
Y926B
BCBS FACILITY OB
FL
Enumeration date
06/26/2007
Last updated
07/21/2022
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