Individual
ANTHONY A. AZZARELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
303 NO. CLYDE MORRIS BLVD., HALIFAX MEDICAL CENTER - CHEST PAIN CENTER, DAYTONA BEACH, FL 32114-2709
(386) 425-1800
(386) 425-1804
Mailing address
PO BOX BOX 864074, HALIFAX HEALTHCARE SYSTEMS, INC., ORLANDO, FL 32886-4074
(386) 226-4590
(386) 226-3371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292228200
—
FL
Enumeration date
05/23/2006
Last updated
10/26/2011
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