| |
7647 W Gulf To Lake Hwy Crystal River FL 34429-7962 | |
(352) 795-1718 | |
(352) 795-7898 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 7647 W Gulf To Lake Hwy, Crystal River, Florida |
Authorized Official Name and Position | Charles S Li (PHYSICIAN) |
Authorized Official Contact | 3527951718 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 640573 Beverly Hills FL 34464-0573 Ph: (352) 746-1558 | 7647 W Gulf To Lake Hwy Crystal River FL 34429-7962 Ph: (352) 795-1718 |
NPI Number | 1144355587 |
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Provider Enumeration Date | 02/23/2007 |
Last Update Date | 06/09/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144355587 | NPI | - | NPPES |
660075100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | ME0029731 (Florida) | Primary |
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