Healthcare Provider Details

I. General information

NPI: 1114023504
Provider Name (Legal Business Name): ZHIMING LI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11400 OVERSEAS HWY STE 223
MARATHON FL
33050-3600
US

IV. Provider business mailing address

PO BOX 17347
PLANTATION FL
33318-7347
US

V. Phone/Fax

Practice location:
  • Phone: 305-240-0385
  • Fax: 305-916-5022
Mailing address:
  • Phone: 954-370-1053
  • Fax: 954-370-1533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME79543
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: