Individual
DR. CHUNG-LI JASON LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
116 BLACKFORD WAY, ST AUGUSTINE, FL 32086-1876
(904) 436-0006
(904) 797-6569
Mailing address
116 BLACKFORD WAY, ST AUGUSTINE, FL 32086-1876
(904) 436-0006
(904) 797-6569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS34480
FL
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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