Xiao Feng Li MD PA Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME70503 Issued in FL

Legal business name

XIAO FENG LI MD PA INC

Doing business as

Colonial Medical Center, East Orlando

Practice address

11325 Lake Underhill Rd
Suite 102
Orlando, FL 32825-5090

Phone

(407) 275-0002

Fax

(407) 275-0072

NPI assigned

Jan 6, 2012

Last updated

Jan 6, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Xiao Feng Li, M.D.NPI 1720001357

Title

Owner

Phone

(407) 275-0002

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Colonial Medical Center, East Orlando Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xiao Feng Li, M.D.

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1720001357
  NPD (past) Authorized official
• Yun Fan, NP

  • Family Nurse Practitioner
  • Altamonte Springs, FL
  • NPI 1043052590
  NPD (past)
• Linda Carol Sloot, ARNP

  • Pediatric Nurse Practitioner
  • Orlando, FL
  • NPI 1255543401
  NPD (past)
• Jian Zhao

  • Anatomic Pathology & Clinical Pathology Physician
  • Orlando, FL
  • NPI 1073386652
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1194095240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781708",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328781708",
            "telephone_number": "407-275-0002",
            "fax_number": "407-275-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 LAKE UNDERHILL RD",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255090",
            "telephone_number": "407-275-0002",
            "fax_number": "407-275-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIAO FENG LI MD PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "XIAO",
        "authorized_official_middle_name": "FENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-275-0002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME70503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265082700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34277",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Medical Center, East Orlando",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.