Provider Demographics
NPI:1093308538
Name:YANG, HENG (PHD)
Entity type:Individual
Prefix:
First Name:HENG
Middle Name:
Last Name:YANG
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 HALCYON LN STE 301
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-6690
Mailing Address - Country:US
Mailing Address - Phone:904-300-0787
Mailing Address - Fax:
Practice Address - Street 1:2950 HALCYON LN STE 301
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-6690
Practice Address - Country:US
Practice Address - Phone:904-300-0787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA483171100000X
SCMAP.322.ACUP171100000X
FLAP4290171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist