Provider Demographics
NPI:1528038189
Name:LIU, WILLIAM FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANK
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9981 S. HEALTHPARK DR.
Mailing Address - Street 2:SUITE 281
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-3618
Mailing Address - Country:US
Mailing Address - Phone:239-343-6906
Mailing Address - Fax:239-343-6915
Practice Address - Street 1:9981 S. HEALTHPARK DR.
Practice Address - Street 2:SUITE 281
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3618
Practice Address - Country:US
Practice Address - Phone:239-343-6906
Practice Address - Fax:239-343-6915
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 469942080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL042517600Medicaid
FL36414OtherBLUE CROSS
FL36414OtherBLUE CROSS