Organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Active
Other names
Charles S. Li, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES S LI MD (PHYSICIAN)
(352) 795-1718
Entity
Organization
Contact information
Practice address
7647 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7962
(352) 795-1718
(352) 795-7898
Mailing address
PO BOX 640573, BEVERLY HILLS, FL 34464-0573
(352) 746-1558
(352) 746-3838
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
ME0029731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660075100
—
FL
Enumeration date
02/01/2007
Last updated
06/25/2008
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