Provider Demographics
NPI:1689955288
Name:TAO, JIMMY ZIMING (MD)
Entity Type:Individual
Prefix:DR
First Name:JIMMY
Middle Name:ZIMING
Last Name:TAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ZIMING
Other - Middle Name:
Other - Last Name:TAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8920 NW 8TH ST
Mailing Address - Street 2:APT 204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3426
Mailing Address - Country:US
Mailing Address - Phone:917-536-8084
Mailing Address - Fax:
Practice Address - Street 1:8920 NW 8TH ST
Practice Address - Street 2:APT 204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-3426
Practice Address - Country:US
Practice Address - Phone:917-536-8084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME108530207ZP0102X
CAA113234207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathologyGroup - Single Specialty