Li-Ming Su, M.D.
Urology in Gainesville, FL. Individual provider (NPI-1).
NPI number1104856830
StatusActive
Last updated in NPPESFeb 21, 2013
Details
- NPI
- 1104856830
- Entity type
- Individual (NPI-1)
- Name
- Li-Ming Su
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2006
- Last updated
- Feb 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | ME101192 | FL | Yes |
| 208800000X | Urology | D56095 | MD |
Practice location
1600 Sw Archer RdGainesville, FL 32610-3003
Phone 352-273-6815 · Fax 352-273-7515
Mailing address
Po Box 918025Orlando, FL 32891-8025
Phone 352-273-6815 · Fax 352-273-7515
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