Healthcare Provider Details

I. General information

NPI: 1952633828
Provider Name (Legal Business Name): YILI ZHOU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2010
Last Update Date: 02/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 SW 33RD RD 200
OCALA FL
34474-7410
US

IV. Provider business mailing address

10303 SW 48TH PL
GAINESVILLE FL
32608-7173
US

V. Phone/Fax

Practice location:
  • Phone: 352-629-7011
  • Fax: 352-629-7924
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME86840
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberME104778
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME86840
License Number StateFL

VIII. Authorized Official

Name: DR. YILI ZHOU
Title or Position: PRESIDENT
Credential: MD
Phone: 352-562-1017