# AZALEA MEDICAL, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Azalea Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942629589
- **Authorized official:** DR. KATHARINE J. ROSE M.D. (PRESIDENT)
- **Authorized official phone:** (504) 434-2330

## Contact information

- **Practice address:** 3305 METAIRIE RD., STE. 1, METAIRIE, LA 70001
- **Practice address phone:** (504) 434-2330
- **Practice address fax:** (504) 885-0820
- **Mailing address:** 3305 METAIRIE RD., STE. 1, METAIRIE, LA 70001
- **Mailing address phone:** (504) 434-2330
- **Mailing address fax:** (504) 885-0820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 201310 | LA | Yes |
| 251T00000X | PACE Provider Organization | 201310 | FL | — |

## Other

- **Enumeration date:** 04/10/2014
- **Last updated:** 02/28/2019