Individual
GEORGE GANG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4161 TAMIAMI TRL, SUITE 201, PORT CHARLOTTE, FL 33952-9204
(941) 764-0800
(941) 764-6494
Mailing address
4161 TAMIAMI TRL, SUITE 201, PORT CHARLOTTE, FL 33952-9204
(941) 764-0800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME99150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279901400
—
FL
05
—
291084500
—
FL
Enumeration date
11/21/2006
Last updated
06/22/2010
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