Individual
LI LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
301142
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD466111
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ME180264
FL
Other
Enumeration date
04/11/2013
Last updated
04/14/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us