MEDICARE: ZHIMIN LI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN24899	FL

General Provider Information

NPI Number	:	1255955936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHIMIN LI

Provider Business Mailing Address
First Line	:	7635 WEXFORD CLUB DR W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-2311
Country	:	US
Telephone Number	:	904-463-5528
Fax Number	:

Provider Business Practice Location Address
First Line	:	3504 CARDINAL POINT DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5500
Country	:	US
Telephone Number	:	904-730-2266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2020
Last Update Date	:	10/22/2025

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Directions to “ ZHIMIN LI ” Practice Location

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