Provider Demographics
NPI:1871506212
Name:ZHU, JULIE (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:ZHU
Suffix:
Gender:F
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 141450
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32614-1450
Mailing Address - Country:US
Mailing Address - Phone:352-371-9777
Mailing Address - Fax:352-371-0089
Practice Address - Street 1:3720 NW 83RD ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-5603
Practice Address - Country:US
Practice Address - Phone:352-336-3050
Practice Address - Fax:352-337-2571
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83771207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12028OtherBC/BS FLORIDA
FL264054600Medicaid
FL283736OtherAVMED
FL110236793OtherRAILROAD MEDICARE
FLH59591Medicare UPIN
FL264054600Medicaid