# MA, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699898700
- **Authorized official:** LI MA MD, PHD (PRESIDENT)
- **Authorized official phone:** (813) 345-3937

## Contact information

- **Practice address:** 19260 FISHERMANS BEND DRIVE, LUTZ, FL 33558
- **Practice address phone:** (813) 345-3937
- **Mailing address:** 19260 FISHERMANS BEND DRIVE, LUTZ, FL 33558
- **Mailing address phone:** (813) 345-3937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | FL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | FL | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 09/11/2025