Provider Demographics
NPI:1366548273
Name:FU, DI (AP)
Entity type:Individual
Prefix:DR
First Name:DI
Middle Name:
Last Name:FU
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2165 SW 130TH TER
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2660
Mailing Address - Country:US
Mailing Address - Phone:954-752-8888
Mailing Address - Fax:954-441-8532
Practice Address - Street 1:8050 N UNIVERSITY DR
Practice Address - Street 2:STE 103
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2115
Practice Address - Country:US
Practice Address - Phone:754-752-8888
Practice Address - Fax:954-721-8843
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP595171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC0254Medicare UPIN