Provider Demographics
NPI:1538959499
Name:YANG LIU MEDICAL SUPPLY
Entity type:Organization
Organization Name:YANG LIU MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-790-7471
Mailing Address - Street 1:1719 SPUR ONE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:GA
Mailing Address - Zip Code:31065-3239
Mailing Address - Country:US
Mailing Address - Phone:813-790-7471
Mailing Address - Fax:
Practice Address - Street 1:1719 SPUR ONE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:GA
Practice Address - Zip Code:31065-3239
Practice Address - Country:US
Practice Address - Phone:813-790-7471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies