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Individual
DR. VINCENT A AZZARA
Active
Individual
DR. VINCENT A AZZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS5451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013683G
HUMANA
FL
05
—
055936900
—
FL
01
—
104456
AVMED
FL
01
—
15629
STAYWELL
FL
01
—
80533
BC/BS OF FLORIDA
FL
Enumeration date
11/15/2005
Last updated
01/13/2022
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