Organization
YILI ZHOU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YILI ZHOU MD (PRESIDENT)
(352) 562-1019
Entity
Organization
Contact information
Practice address
201 W GUAVA ST, SUITE 205, LADY LAKE, FL 32159-1701
(352) 751-6582
(352) 751-6585
Mailing address
5525 BANANA POINT DR, OKAHUMPKA, FL 34762-3334
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
ME104778
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME86840
FL
Other
Enumeration date
05/10/2012
Last updated
07/09/2014
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