MEDICARE: ALISON J LI

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	163WC0200X	Critical Care Medicine Registered Nurse	RN9641870	FL

General Provider Information

NPI Number	:	1619800877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON J LI

Provider Business Mailing Address
First Line	:	1148 N JOHN YOUNG PKWY APT 236
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-7919
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 UNDERWOOD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-1110
Country	:	US
Telephone Number	:	321-841-5111
Fax Number	:

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

Provider Enumeration Date	:	06/06/2026
Last Update Date	:	06/06/2026

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