| Aza Health | |
|
1302 River St Palatka FL 32177-5042 | |
| (386) 328-0108 | |
| (386) 325-1086 |
| Full Name | Aza Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1302 River St, Palatka, 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 1302 River St Palatka FL 32177-5042 Ph: (386) 328-0108 |
| NPI Number | 1871569061 |
|---|---|
| Provider Enumeration Date | 02/27/2006 |
| Last Update Date | 02/10/2020 |
| Medicare PECOS PAC ID | 7214849520 |
|---|---|
| Medicare Enrollment ID | O20031211000892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871569061 | NPI | - | NPPES |
| 029543400 | Medicaid | FL | |
| 100931179 | Medicaid | FL | |
| 029543401 | Medicaid | FL | |
| CF6528 | Other | FL | MEDICARE RAILROAD |
| 037641802 | Medicaid | FL | |
| 99262 | Other | FL | BLUE CROSS BLUE SHIELD |
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