Doctor Name: | DI XUN |
NPI Number: | 1245647841 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | UO4310 |
Business Practice Address: | 379 6th Ave W Bradenton, FL - 342058820 |
Business Phone Number: | 9417824100 |
Business Fax Number: | 9417824101 |
Mailing Address: | Po Box 9478, BRADENTON |
State: | FL |
Postal Code: | 342069478 |
Phone Number: | 9417824299 |
Fax Number: | 9417824301 |
NPI Enumeration Date: | 07/15/2014 |
NPI Last Update Date: | 07/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | UO4310 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |