Individual
DANIELLA ORTAL AZRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1111 KANE CONCOURSE STE 504, BAY HARBOR ISLANDS, FL 33154-2043
(645) 215-2600
(645) 215-3200
Mailing address
1111 KANE CONCOURSE STE 504, BAY HARBOR ISLANDS, FL 33154-2043
(645) 215-2600
(645) 215-3200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020995-1
NY
363A00000X
Physician Assistant
Primary
PA9110769
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/18/2018
Last updated
07/02/2026
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