Provider Demographics
NPI:1114023504
Name:LI, ZHIMING (MD)
Entity Type:Individual
Prefix:
First Name:ZHIMING
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17347
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33318-7347
Mailing Address - Country:US
Mailing Address - Phone:954-370-1053
Mailing Address - Fax:954-370-1533
Practice Address - Street 1:3301 OVERSEAS HWY
Practice Address - Street 2:FISHERMAN'S HOSPITAL
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050
Practice Address - Country:US
Practice Address - Phone:305-240-0385
Practice Address - Fax:954-370-1533
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79543207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL220031289OtherRAILROAD MEDICARE
FL262655100Medicaid
H0113Medicare UPIN
51909Medicare PIN