| Qixia Huang, M.d., P.a. | |
|
1301 Plantation Island Dr S Ste 102a St Augustine FL 32080-3109 | |
| (904) 471-5626 | |
| Not Available |
| Full Name | Qixia Huang, M.d., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1301 Plantation Island Dr S Ste 102a, St Augustine, Florida |
| Authorized Official Name and Position | Qixia Huang (PRESIDENT) |
| Authorized Official Contact | 9044715626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Qixia Huang, M.d., P.a. 1301 Plantation Island Dr S Ste 102a St Augustine FL 32080-3109 Ph: (904) 471-5626 | Qixia Huang, M.d., P.a. 1301 Plantation Island Dr S Ste 102a St Augustine FL 32080-3109 Ph: (904) 471-5626 |
| NPI Number | 1467649632 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 10/01/2007 |
| Medicare PECOS PAC ID | 6608852264 |
|---|---|
| Medicare Enrollment ID | O20040625000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467649632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME78764 (Florida) | Primary |
| Provider Name | Qixia Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215039870 PECOS PAC ID: 1052397619 Enrollment ID: I20040626000011 |
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