Organization Active NPI

Alexander O. Liu Jr., M.D., P.a.

  • Internal Medicine Physician
  • Beverly Hills, FL
National Provider Identifier
1265747067
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0071491 Issued in FL
Legal business name
ALEXANDER O. LIU JR., M.D., P.A.
Practice address
2 W Lemon St
Beverly Hills, FL 34465-3253
Phone
(352) 746-2525
Fax
(352) 746-4141
NPI assigned
Aug 17, 2010
Last updated
Aug 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alexander O Liu Jr., M.D.NPI 1710920038
Title
Owner
Phone
(352) 746-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0071491 FL Primary

Addresses

Primary practice location

2 W Lemon St
Beverly Hills, FL 34465-3253

Mailing address

PO Box 640524
Beverly Hills, FL 34464-0524
Phone (352) 746-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100826000337 FL Part B Supplier - Clinic/Group Practice 3870617988 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, FL

National Provider Directory

National Provider Directory

Locations

2 W Lemon St
Beverly Hills, FL 34465
Phone (352) 746-2525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1265747067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640524",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344640524",
            "telephone_number": "352-746-2525",
            "fax_number": "352-746-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W LEMON ST",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653253",
            "telephone_number": "352-746-2525",
            "fax_number": "352-746-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER O. LIU JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-746-2525",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.