| Aza Health | |
|
100 Commercial Dr Keystone Heights FL 32656-6802 | |
| (352) 473-6595 | |
| (352) 473-6597 |
| Full Name | Aza Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Commercial Dr, Keystone Heights, 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 100 Commercial Dr Keystone Heights FL 32656-6802 Ph: (352) 473-6595 |
| NPI Number | 1073589065 |
|---|---|
| Provider Enumeration Date | 02/28/2006 |
| Last Update Date | 02/13/2020 |
| Medicare PECOS PAC ID | 7214849520 |
|---|---|
| Medicare Enrollment ID | O20031106000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073589065 | NPI | - | NPPES |
| 029543405 | Medicaid | FL | |
| 037641805 | Medicaid | FL | |
| DE2912 | Other | FL | MEDICARE RAILROAD |
| 026423790 | Medicaid | FL |
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