Provider Demographics
NPI:1710349071
Name:A LIU MD PLLC
Entity Type:Organization
Organization Name:A LIU MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:O
Authorized Official - Last Name:LIU
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:352-746-2525
Mailing Address - Street 1:PO BOX 640524
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:FL
Mailing Address - Zip Code:34464-0524
Mailing Address - Country:US
Mailing Address - Phone:352-746-2525
Mailing Address - Fax:352-746-4141
Practice Address - Street 1:2 W LEMON ST
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:FL
Practice Address - Zip Code:34465-3253
Practice Address - Country:US
Practice Address - Phone:352-746-2525
Practice Address - Fax:352-746-4141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-25
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71491207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty