| Abu Azizullah Md Pa | |
|
8550 Ne 138th Ln Bldg 800 Lady Lake FL 32159-8957 | |
| (352) 391-5299 | |
| (352) 391-5308 |
| Full Name | Abu Azizullah Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 8550 Ne 138th Ln, Lady Lake, Florida |
| Authorized Official Name and Position | Abu N Azizullah (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3523915299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abu Azizullah Md Pa 8550 Ne 138th Ln Bldg 800 Lady Lake FL 32159-8957 Ph: (352) 391-5299 | Abu Azizullah Md Pa 8550 Ne 138th Ln Bldg 800 Lady Lake FL 32159-8957 Ph: (352) 391-5299 |
| NPI Number | 1609064724 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 07/20/2011 |
| Medicare PECOS PAC ID | 7719075787 |
|---|---|
| Medicare Enrollment ID | O20071109000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609064724 | NPI | - | NPPES |
| 271012900 | Medicaid | FL | |
| 43231 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME86965 (Florida) | Primary |
| Provider Name | Arturo R Castro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427052901 PECOS PAC ID: 3476526930 Enrollment ID: I20040823001350 |
| Provider Name | Abu N Azizullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538130117 PECOS PAC ID: 8921073396 Enrollment ID: I20040902001220 |
| Provider Name | James S Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376523944 PECOS PAC ID: 9335200575 Enrollment ID: I20081206000184 |
| Provider Name | Connie Renea Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386028173 PECOS PAC ID: 1658540133 Enrollment ID: I20170201002519 |
| Provider Name | Ahlan Mohamed Jama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538309877 PECOS PAC ID: 6103099130 Enrollment ID: I20180505000138 |
| Provider Name | Himanshu Pathak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700054939 PECOS PAC ID: 6901093905 Enrollment ID: I20210810004201 |
Health First Internal Medicine Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8562 Ne 138th Ln, Lady Lake, FL 32159 Phone: 352-633-8681 | |
Optimum Health Wellness Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1503 Buenos Aires Blvd Ste 160, Lady Lake, FL 32159 Phone: 352-350-6241 | |
Mesos, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 County Road 466, Lady Lake, FL 32159 Phone: 352-259-8599 Fax: 352-259-8559 | |
Pulse Medical Doctors Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 871 County Road 466, Suite 200, Lady Lake, FL 32159 Phone: 352-350-5130 Fax: 352-350-1684 | |
Cogent Healthcare Of Jacksonville, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Highway 466, Lady Lake, FL 32159 Phone: 352-430-0017 | |
Vqol Primary Care Physician Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8550 Ne 138th Ln Ste 102, Lady Lake, FL 32159 Phone: 352-314-2922 | |
New Traditions In Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13940 N Us Highway 441, Suite 906, Lady Lake, FL 32159 Phone: 352-205-8305 Fax: 352-750-1933 |