Organization
YILI ZHOU LLC
Active
Organization
YILI ZHOU LLC
Active
Other names
Florida Pain and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YILI ZHOU M.D. (DOCTOR)
(352) 629-7011
Entity
Organization
Contact information
Practice address
440 SW PERIMETER GLN, LAKE CITY, FL 32025-0497
(386) 719-9663
(386) 719-9662
Mailing address
5525 BANANA POINT DR, OKAHUMPKA, FL 34762-3334
(352) 629-7011
(352) 629-7924
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME86840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009381900
—
FL
05
—
013362500
—
FL
05
—
265587000
—
FL
01
—
287725
AVMED
FL
01
—
47853
BCBS
FL
01
—
7281245
AETNA
FL
01
—
P00264488/DD9858
RAILROAD MEDICARE
—
Enumeration date
05/30/2006
Last updated
05/06/2016
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