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NPI Code Detail

MEDICARE: ALEJANDRO LI CSA

MEDICARE: ALEJANDRO LI CSA
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
1246ZC0007XSurgical Assistant

General Provider Information

NPI Number : 1215386024
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRO LI CSA
Provider Business Mailing Address
First Line : 1995 E OAKLAND PARK BLVD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33306-1147
Country : US
Telephone Number : 954-791-6146
Fax Number : 954-337-2733
Provider Business Practice Location Address
First Line : 1995 E OAKLAND PARK BLVD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33306-1147
Country : US
Telephone Number : 954-791-6146
Fax Number : 954-337-2733
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2016
Last Update Date : 06/13/2016

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Directions to “ ALEJANDRO LI CSA” Practice Location

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