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Individual

XIAOLONG SEAN LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6500 W NEWBERRY RD, GAINESVILLE, FL 32605
(352) 333-4955
(352) 333-4284
Mailing address
PO BOX 741087, ATLANTA, GA 30384-1087
(352) 333-4955
(352) 333-4284

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
MD20050608
NM
207ZH0000X
Hematology (Pathology) Physician
MD20050608
NM
207ZI0100X
Immunopathology Physician
MD20050608
NM
207ZP0101X
Anatomic Pathology Physician
MD20050608
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME128535
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52837
NM
Enumeration date
12/27/2005
Last updated
01/23/2019
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