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XIAO FENG LI MD PA INC NPI 1194095240


NPI Information

NPI: 1194095240
Provider Name: XIAO FENG LI MD PA INC

Doing Business As: COLONIAL MEDICAL CENTER, EAST ORLANDO

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D0974658

Address:
11325 LAKE UNDERHILL RD
SUITE 102
ORLANDO, FL
ZIP 32825
Phone: (407) 275-0002
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XIAO FENG LI MD PA INC is a pediatrics in Orlando, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. XIAO FENG LI MD PA INC NPI is 1194095240. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Colonial Medical Center, East Orlando.

The provider's business location address is:

11325 LAKE UNDERHILL RD
SUITE 102
ORLANDO, FL
ZIP 32825-090
Phone: (407) 275-0002
Fax: (407) 275-0072

The provider's authorized official is Xiao Feng Li .
The authorized official title is Owner and has the following contact phone number (407) 275-0002.

The CLIA number assigned to this NPI record is 10D0974658 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 1/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME70503FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
134277OTHERFLORIDABLUE CROSS BLUE SHIELD
2265082700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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