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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