Provider Demographics
NPI:1023645397
Name:LI, DEBORAH JOYCE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:JOYCE
Last Name:LI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 NW 12TH AVE STE 1021
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1046
Mailing Address - Country:US
Mailing Address - Phone:305-243-3315
Mailing Address - Fax:305-689-4979
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-243-3315
Practice Address - Fax:305-689-4979
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program