Healthcare Provider Details

I. General information

NPI: 1871506212
Provider Name (Legal Business Name): JULIE ZHU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 02/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 NW 83RD ST
GAINESVILLE FL
32606-5603
US

IV. Provider business mailing address

PO BOX 141450
GAINESVILLE FL
32614-1450
US

V. Phone/Fax

Practice location:
  • Phone: 352-336-3050
  • Fax: 352-337-2571
Mailing address:
  • Phone: 352-371-9777
  • Fax: 352-371-0089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberME83771
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME83771
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: