| Dr Li Internal Medicine Pa | |
|
499 E Central Pkwy Ste 205 Altamonte Springs FL 32701-3450 | |
| (407) 960-6709 | |
| (407) 960-6727 |
| Full Name | Dr Li Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 499 E Central Pkwy Ste 205, Altamonte Springs, Florida |
| Authorized Official Name and Position | Jianyu Li (OWNER) |
| Authorized Official Contact | 4079606709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Li Internal Medicine Pa 499 E Central Pkwy Ste 205 Altamonte Springs FL 32701-3450 Ph: (407) 960-6709 | Dr Li Internal Medicine Pa 499 E Central Pkwy Ste 205 Altamonte Springs FL 32701-3450 Ph: (407) 960-6709 |
| NPI Number | 1508510884 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 05/20/2022 |
| Medicare PECOS PAC ID | 8123411097 |
|---|---|
| Medicare Enrollment ID | O20220217001232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508510884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jianyu Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508157983 PECOS PAC ID: 4587835327 Enrollment ID: I20180622000613 |
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