Individual
LI-MING SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-6815
(352) 273-7515
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-6815
(352) 273-7515
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
D56095
MD
208800000X
Urology Physician
Primary
ME101192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281240100
—
FL
05
—
312403700
—
MD
Enumeration date
07/05/2006
Last updated
02/21/2013
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