Provider Demographics
NPI:1386990190
Name:WEI, GENE E (AP, DOM)
Entity type:Individual
Prefix:MR
First Name:GENE
Middle Name:E
Last Name:WEI
Suffix:
Gender:M
Credentials:AP, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 WESTWIND LN
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32730-2926
Mailing Address - Country:US
Mailing Address - Phone:818-571-7296
Mailing Address - Fax:
Practice Address - Street 1:814 WESTWIND LN
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32730-2926
Practice Address - Country:US
Practice Address - Phone:818-571-7296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3153171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist