| Aza Health | |
|
22066 Se 71st Avenue Hawthorne FL 32640-3969 | |
| (352) 481-2700 | |
| (352) 481-2392 |
| Full Name | Aza Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 22066 Se 71st Avenue, Hawthorne, Florida |
| Authorized Official Name and Position | Laura M. Spencer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3863280108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aza Health 1302 River St Palatka FL 32177-5042 Ph: (386) 328-0108 | Aza Health 22066 Se 71st Avenue Hawthorne FL 32640-3969 Ph: (352) 481-2700 |
| NPI Number | 1114994944 |
|---|---|
| Provider Enumeration Date | 03/01/2006 |
| Last Update Date | 02/13/2020 |
| Medicare PECOS PAC ID | 7214849520 |
|---|---|
| Medicare Enrollment ID | O20031119000927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114994944 | NPI | - | NPPES |
| 029543406 | Medicaid | FL | |
| 036741806 | Medicaid | FL | |
| CF6528 | Other | FL | MEDICARE RAILROAD |
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