Provider Demographics
NPI:1861461964
Name:HUANG, ZHIGAO (MD)
Entity Type:Individual
Prefix:DR
First Name:ZHIGAO
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 41113
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32203-1113
Mailing Address - Country:US
Mailing Address - Phone:904-376-4400
Mailing Address - Fax:904-391-5545
Practice Address - Street 1:7807 BAYMEADOWS RD E STE 401
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-9668
Practice Address - Country:US
Practice Address - Phone:904-730-3689
Practice Address - Fax:904-730-3688
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME876262084N0400X
GA0529612084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2660091-00Medicaid
FLP01179530OtherRAILROAD MEDICARE
GA000979415BMedicaid
GA000979415AMedicaid
FLP01179530OtherRAILROAD MEDICARE
FL62986YMedicare PIN
GA000979415BMedicaid
GA000979415AMedicaid
FL62986YMedicare PIN