Individual
XIAOYU LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D, PH. D.
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 102, JACKSONVILLE, FL 32216-6285
(904) 513-3998
(904) 575-4919
Mailing address
6817 SOUTHPOINT PKWY, STE 102, JACKSONVILLE, FL 32216-6285
(904) 513-3998
(904) 575-4919
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME92069
FL
207RI0008X
Hepatology Physician
ME92069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2783797-00
—
FL
05
—
378097680A
—
GA
01
—
96423
BCBS
FL
Enumeration date
12/12/2006
Last updated
08/20/2019
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