| Charles S. Li, Md | |
|
7647 W Gulf To Lake Hwy Crystal River FL 34429-7962 | |
| (352) 795-1718 | |
| (352) 795-7898 |
| Full Name | Charles S. Li, Md |
|---|---|
| Speciality | Clinic/Center |
| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles S. Li, Md Po Box 640573 Beverly Hills FL 34464-0573 Ph: (352) 746-1558 | Charles S. Li, Md 7647 W Gulf To Lake Hwy Crystal River FL 34429-7962 Ph: (352) 795-1718 |
| NPI Number | 1457499576 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 06/25/2008 |
| Medicare PECOS PAC ID | 9032023221 |
|---|---|
| Medicare Enrollment ID | O20101123000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457499576 | NPI | - | NPPES |
| 660075100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | ME0029731 (Florida) | Primary |
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