=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851032312
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TABITHA XIA-ZHU DO, MPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2022
-----------------------------------------------------
Last Update Date | 09/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1707 N MAIN ST
-----------------------------------------------------
City | GAINESVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32609-3650
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-265-9593
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 100238
-----------------------------------------------------
City | GAINESVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32610-0238
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-294-8278
-----------------------------------------------------
Fax | 352-265-0379
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208M00000X
-----------------------------------------------------
Taxonomy Name | Hospitalist Physician
-----------------------------------------------------
License Number | OS22676
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------