Li, Joe

Li, Joe is an individual health care provider with primary practice located at 4877 Palm Coast Pkwy Nw Unit 4 , Palm Coast FL 32137-3677. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Li, Joe can be contacted via phone (386) 490-9990.

Contact Information

Primary practice address
4877 Palm Coast Pkwy Nw Unit 4 Palm Coast FL 32137-3677
Phone: (386) 490-9990
Fax: (386) 263-8768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901002370 Michigan
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3598 Florida

Profile Details

NPI number 1649582628
LBN Legal business name Li, Joe
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2010
Last updated Jun 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649582628 NPPES
Florida MEDICAID 012373300

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