Individual
MS. CONNIE X. LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
1979 W HILLSBORO BLVD, SUITE 1, DEERFIELD BEACH, FL 33442-1444
(954) 428-4800
Mailing address
3867 TURTLE RUN BLVD, CORAL SPRINGS, FL 33067-4227
(732) 766-6976
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME118974
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012569200
—
FL
01
—
11943704
CAQH
FL
Enumeration date
09/13/2007
Last updated
02/17/2016
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