Individual
MICHAEL TED LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6000 49TH ST N, ST PETERSBURG, FL 33709-2114
(727) 521-5057
Mailing address
6000 49TH ST N, ST PETERSBURG, FL 33709-2145
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
DO220006
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
05/02/2024
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