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Individual

DR. JOE LI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4877 PALM COAST PKWY NW UNIT 4, PALM COAST, FL 32137-3677
(386) 490-9990
(386) 263-8768
Mailing address
4877 PALM COAST PKWY NW UNIT 4, PALM COAST, FL 32137-3677
(386) 490-9990
(386) 263-8768

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901002370
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3598
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012373300
FL
Enumeration date
07/07/2010
Last updated
06/23/2023
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