Dr Charles S Li, MD | |
7647 W Gulf To Lake Hwy, Suite 6, Crystal River, FL 34429-7962 | |
(352) 795-1718 | |
(352) 795-7898 |
Full Name | Dr Charles S Li |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 7647 W Gulf To Lake Hwy, Crystal River, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689789380 | NPI | - | NPPES |
660075100 | Medicaid | FL | |
035298500 | Medicaid | FL | |
42122 | Other | FL | BCBSFL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME0029731 (Florida) | Primary |
Entity Name | Nature Coast Geriatric Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417340654 PECOS PAC ID: 0244541282 Enrollment ID: O20150617003035 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles S Li, MD 7647 W Gulf To Lake Hwy, Suite 6, Crystal River, FL 34429-7962 Ph: (352) 795-1718 | Dr Charles S Li, MD 7647 W Gulf To Lake Hwy, Suite 6, Crystal River, FL 34429-7962 Ph: (352) 795-1718 |
Franz Josef Plum, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1250 N Vantage Point Dr, Crystal River, FL 34429 Phone: 352-795-0644 Fax: 352-795-5950 | |
Dr. Joshua Robert Dahlben, MD General Practice Medicare: Medicare Enrolled Practice Location: 7562 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-436-4328 |