Healthcare Provider Details

I. General information

NPI: 1861461964
Provider Name (Legal Business Name): ZHIGAO HUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 08/03/2020
Certification Date: 08/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7807 BAYMEADOWS RD E STE 401
JACKSONVILLE FL
32256-9668
US

IV. Provider business mailing address

PO BOX 41113
JACKSONVILLE FL
32203-1113
US

V. Phone/Fax

Practice location:
  • Phone: 904-730-3689
  • Fax: 904-730-3688
Mailing address:
  • Phone: 904-376-4400
  • Fax: 904-391-5545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME87626
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: