| Azelvandre Do And Associates Llc | |
|
301 S Milwee St Longwood FL 32750-4127 | |
| (407) 339-1060 | |
| (407) 339-1081 |
| Full Name | Azelvandre Do And Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 301 S Milwee St, Longwood, Florida |
| Authorized Official Name and Position | Jacqueline Azelvandre (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4073391060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azelvandre Do And Associates Llc 301 S Milwee St Longwood FL 32750-4127 Ph: (407) 339-1060 | Azelvandre Do And Associates Llc 301 S Milwee St Longwood FL 32750-4127 Ph: (407) 339-1060 |
| NPI Number | 1760681118 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 02/06/2024 |
| Medicare PECOS PAC ID | 3072600501 |
|---|---|
| Medicare Enrollment ID | O20071031000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760681118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jacqueline Azelvandre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639160831 PECOS PAC ID: 7618064148 Enrollment ID: I20071031000448 |
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