Provider Demographics
NPI:1477848067
Name:YILI ZHOU LLC
Entity Type:Organization
Organization Name:YILI ZHOU LLC
Other - Org Name:FLORIDA PAIN AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YILI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-629-7011
Mailing Address - Street 1:5525 BANANA POINT DR
Mailing Address - Street 2:
Mailing Address - City:OKAHUMPKA
Mailing Address - State:FL
Mailing Address - Zip Code:34762-3334
Mailing Address - Country:US
Mailing Address - Phone:352-562-1019
Mailing Address - Fax:855-358-6200
Practice Address - Street 1:1910 SW 18TH CT
Practice Address - Street 2:200
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7857
Practice Address - Country:US
Practice Address - Phone:352-629-7011
Practice Address - Fax:352-629-7924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86840207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL47853X/K88Medicare PIN
FL7491930003Medicare NSC