# WEST FLORIDA MEDICAL ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charles S. Li, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457499576
- **Authorized official:** DR. CHARLES S LI MD (PHYSICIAN)
- **Authorized official phone:** (352) 795-1718

## Contact information

- **Practice address:** 7647 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7962
- **Practice address phone:** (352) 795-1718
- **Practice address fax:** (352) 795-7898
- **Mailing address:** PO BOX 640573, BEVERLY HILLS, FL 34464-0573
- **Mailing address phone:** (352) 746-1558
- **Mailing address fax:** (352) 746-3838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | ME0029731 | FL | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 06/25/2008