MEDICARE: YILI ZHOU LLC

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	ME86840	FL
2	208100000X	Physical Medicine & Rehabilitation Physician	ME104778	FL
3	208VP0014X	Interventional Pain Medicine Physician	ME86840	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	33345	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1952633828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YILI ZHOU LLC

Provider Business Mailing Address
First Line	:	10303 SW 48TH PL
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-7173
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3320 SW 33RD RD
Second Line	:	200
City	:	OCALA
State	:	FL
Zip	:	34474-7410
Country	:	US
Telephone Number	:	352-629-7011
Fax Number	:	352-629-7924

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. YILI ZHOU
Credential	:	MD
Telephone Number	:	352-562-1017

Provider Enumeration Date	:	02/03/2010
Last Update Date	:	02/03/2010

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Directions to “YILI ZHOU LLC ” Practice Location

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