Provider Demographics
NPI:1952633828
Name:YILI ZHOU LLC
Entity Type:Organization
Organization Name:YILI ZHOU LLC
Other - Org Name:COMPREHENSIVE PAIN MANAGEMENT OF NORTH FLORIDA
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:352-562-1017
Mailing Address - Street 1:10303 SW 48TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-7173
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3320 SW 33RD RD
Practice Address - Street 2:200
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7410
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:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86840207LP2900X, 208VP0014X
FLME104778208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265587000Medicaid
FL33345OtherBCBS
FL265587000Medicaid