Healthcare Provider Details

I. General information

NPI: 1477848067
Provider Name (Legal Business Name): YILI ZHOU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 05/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 SW 18TH CT 200
OCALA FL
34471-7857
US

IV. Provider business mailing address

5525 BANANA POINT DR
OKAHUMPKA FL
34762-3334
US

V. Phone/Fax

Practice location:
  • Phone: 352-629-7011
  • Fax: 352-629-7924
Mailing address:
  • Phone: 352-562-1019
  • Fax: 855-358-6200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME86840
License Number StateFL

VIII. Authorized Official

Name: DR. YILI ZHOU
Title or Position: PRESIDENT
Credential: MD
Phone: 352-629-7011