Provider Demographics
NPI:1285115923
Name:YUAN, HUI-LI (ACUPUCTURIST)
Entity type:Individual
Prefix:
First Name:HUI-LI
Middle Name:
Last Name:YUAN
Suffix:
Gender:F
Credentials:ACUPUCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 CHERRY CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-6172
Mailing Address - Country:US
Mailing Address - Phone:407-247-7658
Mailing Address - Fax:
Practice Address - Street 1:1759 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765
Practice Address - Country:US
Practice Address - Phone:407-247-7658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3984171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist