Provider Demographics
NPI:1316273535
Name:ZHI YU, MD, PLLC
Entity type:Organization
Organization Name:ZHI YU, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ZHI
Authorized Official - Middle Name:J
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-226-0493
Mailing Address - Street 1:4221 STACEY RD E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32250-2100
Mailing Address - Country:US
Mailing Address - Phone:904-226-0493
Mailing Address - Fax:904-998-7322
Practice Address - Street 1:4221 STACEY RD E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32250-2100
Practice Address - Country:US
Practice Address - Phone:904-226-0493
Practice Address - Fax:904-998-7322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76867207QG0300X
FLARNP2007072207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257417900Medicaid
FL257417900Medicaid
FLE2517Medicare PIN