MEDICARE: DR. DAOFANG LI A.P., PH.D.

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	171100000X	Acupuncturist	AP0000408	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP0000408	OTHER	FL	ACUPUNCTURE PHYSICIAN

General Provider Information

NPI Number	:	1730244211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAOFANG LI A.P., PH.D.

Provider Business Mailing Address
First Line	:	5385 CONROY RD STE 102
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-3719
Country	:	US
Telephone Number	:	407-420-4051
Fax Number	:	407-420-4051

Provider Business Practice Location Address
First Line	:	5385 CONROY RD STE 102
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-3719
Country	:	US
Telephone Number	:	407-420-4051
Fax Number	:	407-420-4051

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

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	07/08/2007

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