| Aza Health | |
|
405 Elm Street Welaka FL 32193 | |
| (386) 467-3171 | |
| (386) 325-1086 |
| Full Name | Aza Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 405 Elm Street, Welaka, Florida |
| Authorized Official Name and Position | Laura M. Spencer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3863280108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aza Health 1302 River St Palatka FL 32177-5042 Ph: (386) 328-0108 | Aza Health 405 Elm Street Welaka FL 32193 Ph: (386) 467-3171 |
| NPI Number | 1164621744 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164621744 | NPI | - | NPPES |
| 0295434-11 | Medicaid | FL | |
| CF6528 | Other | FL | MEDICARE RAILROAD |
| 0295434-12 | Medicaid | FL |
Welaka Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Elm St, Welaka, FL 32193 Phone: 386-467-3171 Fax: 386-467-3174 | |
Bernard A. Prudencio M.d.pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 673 Third Ave, Welaka, FL 32193 Phone: 386-467-9047 Fax: 386-467-8512 |