Organization
FHJZ, LLC
Active
Other names
Azoth Allspiritus, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON HAWKINS DO (CHIEF MEDICAL OFFICER)
(313) 980-7067
Entity
Organization
Contact information
Practice address
27620 FARMINGTON RD STE 110, FARMINGTON HILLS, MI 48334-3367
(734) 249-8064
Mailing address
27620 FARMINGTON RD STE 110, FARMINGTON HILLS, MI 48334-3367
(734) 249-8064
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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