Individual
XIN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
203 INDIGO DR, BRUNSWICK, GA 31525-6865
(912) 261-2669
(912) 261-0561
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
ME139876
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME139876
FL
Other
Enumeration date
03/20/2013
Last updated
08/20/2020
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