Provider Demographics
NPI:1710340179
Name:ZHANG, JING QIAN (MD)
Entity type:Individual
Prefix:
First Name:JING
Middle Name:QIAN
Last Name:ZHANG
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11140 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3311
Mailing Address - Country:US
Mailing Address - Phone:407-877-6500
Mailing Address - Fax:321-203-4612
Practice Address - Street 1:11140 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3311
Practice Address - Country:US
Practice Address - Phone:407-877-6500
Practice Address - Fax:321-203-4612
Is Sole Proprietor?:No
Enumeration Date:2016-04-03
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME172658207Q00000X
NV18863207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program