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Individual

HABIB A AZIZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2814 LEE BLVD, STE 3, LEHIGH ACRES, FL 33971-1542
(239) 303-2687
(239) 303-2688
Mailing address
2814 LEE BLVD, STE 3, LEHIGH ACRES, FL 33971-1542
(239) 303-2687
(239) 303-2688

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3682
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1881883676
WEST FLORIDA EYE , INC.
FL
01
19953
BLUE CROSS BLUE SHIELD
FL
05
620756100
FL
01
7693417
AETNA
FL
01
958992
CIGNA
FL
01
DN2426
RAILROAD MEDICARE
FL
Enumeration date
04/05/2006
Last updated
07/26/2012
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