Individual
DR. JONATHAN GUY AZOULAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-2121
Mailing address
2074 SW 42ND LN, GAINESVILLE, FL 32608-8003
(858) 200-5128
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME120365
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013150044
—
FL
Enumeration date
04/06/2009
Last updated
11/25/2014
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