| Doctor Name: | JIAN WU |
| NPI Number: | 1003966367 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | C0003206 |
| Business Practice Address: | 1250 John B White Sr Blvd Spartanburg, SC - 293063929 |
| Business Phone Number: | 8645740017 |
| Business Fax Number: | 8645746088 |
| Mailing Address: | 151 Southhall Ln, Ste 300 MAITLAND |
| State: | FL |
| Postal Code: | 327517176 |
| Phone Number: | 4078752080 |
| Fax Number: | 4076503455 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 06/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | C0003206 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |