Male or Other

Fan Wu DO

Hospitalist Physician in Trinity, FL(View on Map)

Full Name

Fan Wu DO

NPI Number

1174101000

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/31/2021

Specialties

(Taxonomies)

Code

208M00000X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

1021109

Contact
Information

Purpose

Mailing
Location

Address

9330 STATE ROAD 54
9330 STATE ROAD 54

City

Trinity
Trinity

State

FL
FL

Postal Code

34655-1808
34655-1808

Country

US
US

Telephone Number

N/A
(727) 834-4000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/06/2024

Provider Address