Healthcare Provider Details

I. General information

NPI: 1922732858
Provider Name (Legal Business Name): ZHOU WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 07/15/2022
Certification Date: 07/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7469 NW 4TH ST
PLANTATION FL
33317-2216
US

IV. Provider business mailing address

7469 NW 4TH ST
PLANTATION FL
33317-2216
US

V. Phone/Fax

Practice location:
  • Phone: 754-755-8088
  • Fax: 754-200-2819
Mailing address:
  • Phone: 754-755-8088
  • Fax: 754-200-2819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DONGFENG ZHOU
Title or Position: OWNER
Credential: AP
Phone: 754-755-8088