Individual
JING M LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803
(407) 303-1985
Mailing address
807 S ORLANDO AVE STE C, WINTER PARK, FL 32789-4870
(407) 894-4693
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
9320447
FL
Other
Enumeration date
01/30/2018
Last updated
06/01/2018
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