Healthcare Provider Details
I. General information
NPI: 1205932696
Provider Name (Legal Business Name): KEYS PATHOLOGY ASSOCIATES P A
Entity Type: Organization
Gender:
Sole Proprietor:
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
- Phone: 305-240-0385
- Fax: 305-916-5022
- Phone: 954-370-1053
- Fax: 954-370-1533
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ZHIMING
LI
Title or Position: PRESIDENT
Credential: MD
Phone: 305-240-0385