MEDICARE: LI JIN VOEPEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician	ME85032	FL
2	208100000X	Physical Medicine & Rehabilitation Physician	ME85032	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	17084	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144294596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LI JIN VOEPEL MD

Provider Business Mailing Address
First Line	:	4015 N HARBOR CITY BLVD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-5794
Country	:	US
Telephone Number	:	321-821-6893
Fax Number	:	772-228-8332

Provider Business Practice Location Address
First Line	:	4015 N HARBOR CITY BLVD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-5794
Country	:	US
Telephone Number	:	321-821-6893
Fax Number	:	772-228-8332

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	07/21/2022

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