Provider Demographics
NPI:1427043926
Name:ZHOU, YILI (MD)
Entity type:Individual
Prefix:
First Name:YILI
Middle Name:
Last Name:ZHOU
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 1:5365 W ATLANTIC AVE
Mailing Address - Street 2:STE 504
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8194
Mailing Address - Country:US
Mailing Address - Phone:561-241-9300
Mailing Address - Fax:561-241-9339
Practice Address - Street 1:1910 SW 18TH CT
Practice Address - Street 2:SUITE 200
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7857
Practice Address - Country:US
Practice Address - Phone:352-629-7011
Practice Address - Fax:352-629-7924
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86840208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00264488/DD9858OtherRAILROAD MEDICARE
FLK8875OtherMEDICARE ID-TYPE UNSPECIF
FL47853OtherBLUE SHIELD PROV #
FL287725OtherAVMED
FL013362500Medicaid
FL287725OtherAVMED
FLK8875OtherMEDICARE ID-TYPE UNSPECIF
P00264488/DD9858OtherRAILROAD MEDICARE
FL013362500Medicaid
FL47853XMedicare ID - Type UnspecifiedMEDICAREB
FL265587001Medicaid