Doctor Name: | HAN MING DU |
NPI Number: | 1104282854 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | A.P. DOM |
License Number: | AP968 |
Business Practice Address: | 15300 Jog Rd Ste 209 Delray Beach, FL - 334462166 |
Business Phone Number: | 5613813303 |
Business Fax Number: | 5613813303 |
Mailing Address: | 15300 Jog Rd Ste 209, DELRAY BEACH |
State: | FL |
Postal Code: | 334462166 |
Phone Number: | 5613813303 |
Fax Number: | 5613813303 |
NPI Enumeration Date: | 01/11/2016 |
NPI Last Update Date: | 01/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | AP968 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |