Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | OS15370 | FL |
NPI | 1033554597 |
---|---|
Provider Name | Wayne Hu |
First Address | Summerfield, FL 34491-8682 |
Second Address | Summerfield, FL 34491-8682 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2013 |
Last Update Date | 17/02/2021 |