Provider Demographics
NPI:1861735375
Name:PAN, HU (AP)
Entity type:Individual
Prefix:DR
First Name:HU
Middle Name:
Last Name:PAN
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720 MARBELLA LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-5031
Mailing Address - Country:US
Mailing Address - Phone:239-263-7089
Mailing Address - Fax:239-263-7089
Practice Address - Street 1:2670 HORSESHOE DR N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-6914
Practice Address - Country:US
Practice Address - Phone:239-263-7089
Practice Address - Fax:239-263-7089
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 1989171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist