Individual
DR. MARY M LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7154 MEDICAL CENTER DR, SPRING HILL, FL 34608-1329
(352) 596-1926
(352) 597-2154
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIAL DEPT, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME84859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265504700
—
FL
01
—
P00468395
RAILROAD MEDICARE
FL
Enumeration date
01/25/2006
Last updated
08/10/2022
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