MEDICARE: FENG ZOU LEE DAOM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP4655	FL

General Provider Information

NPI Number	:	1043181084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FENG ZOU LEE DAOM

Provider Business Mailing Address
First Line	:	2135 S RIDGEWOOD AVE
Second Line	:
City	:	SOUTH DAYTONA
State	:	FL
Zip	:	32119-3015
Country	:	US
Telephone Number	:	386-760-2112
Fax Number	:

Provider Business Practice Location Address
First Line	:	2135 S RIDGEWOOD AVE
Second Line	:
City	:	SOUTH DAYTONA
State	:	FL
Zip	:	32119-3015
Country	:	US
Telephone Number	:	386-760-2112
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	09/15/2025

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Directions to “ FENG ZOU LEE DAOM” Practice Location

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