Individual
YAQING WEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901
(321) 434-1771
(321) 434-1775
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME136473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024986200
—
FL
01
—
JK195Z
MEDICARE
FL
Enumeration date
04/11/2012
Last updated
03/11/2020
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