Individual
DR. DAVID LI WEI PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1504 BAY RD APT 2101, MIAMI, FL 33139-3277
(786) 266-4568
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TRN15814
FL
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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