Provider Demographics
NPI:1356570212
Name:ZADOV, YEVGENY (DO)
Entity type:Individual
Prefix:DR
First Name:YEVGENY
Middle Name:
Last Name:ZADOV
Suffix:
Gender:
Credentials:DO
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 112730
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32611-2730
Mailing Address - Country:US
Mailing Address - Phone:352-627-7671
Mailing Address - Fax:866-840-2808
Practice Address - Street 1:PO BOX 112730
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32611-2244
Practice Address - Country:US
Practice Address - Phone:352-627-7671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2097208100000X
PAOS016180208100000X
FLOS18564208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation