Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | ME151804 | FL |
N | 208800000X | Urologist | ME151804 | FL |
NPI | 1508438250 |
---|---|
Provider Name | Wen Yan Xie |
First Address | Gainesville, FL 32610-0001 |
Second Address | Pensacola, FL 32503-2601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2021 |
Last Update Date | 13/07/2021 |