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Organization
AZALEA MEDICAL, L.L.C.
Active
Organization
AZALEA MEDICAL, L.L.C.
Active
Other names
Azalea Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHARINE J. ROSE M.D. (PRESIDENT)
(504) 434-2330
Entity
Organization
Contact information
Practice address
3305 METAIRIE RD., STE. 1, METAIRIE, LA 70001
(504) 434-2330
(504) 885-0820
Mailing address
3305 METAIRIE RD., STE. 1, METAIRIE, LA 70001
(504) 434-2330
(504) 885-0820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201310
LA
251T00000X
PACE Provider Organization
201310
FL
Other
Enumeration date
04/10/2014
Last updated
02/28/2019
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