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Individual

AZRA VELIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
7207 GOLDEN WINGS RD, SUITE 100, JACKSONVILLE, FL 32244
(904) 389-1010
Mailing address
6195 LAKE GRAY BLVD, JACKSONVILLE, FL 32244-5891
(904) 389-1010

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109097
FL

Other

Enumeration date
10/28/2015
Last updated
08/16/2018
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