# ABU AZIZULLAH MD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609064724
- **Authorized official:** DR. ABU N AZIZULLAH MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (352) 391-5299

## Contact information

- **Practice address:** 8550 NE 138TH LN, BLDG 800, LADY LAKE, FL 32159-8957
- **Practice address phone:** (352) 391-5299
- **Practice address fax:** (352) 391-5308
- **Mailing address:** 8550 NE 138TH LN, BLDG 800, LADY LAKE, FL 32159-8957
- **Mailing address phone:** (352) 391-5299
- **Mailing address fax:** (352) 391-5308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME86965 | FL | Yes |

## Other

- **Enumeration date:** 10/15/2007
- **Last updated:** 07/20/2011