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Individual

ANDREW AZIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
331 N MAITLAND AVE, STE B2, MAITLAND, FL 32751-4762
(407) 740-0331
(407) 539-2747
Mailing address
331 N MAITLAND AVE STE B2, MAITLAND, FL 32751-4753
(407) 740-0331
(407) 539-2747

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME91237
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004055848
AETNA
FL
01
4946331
CIGNA
FL
01
72948
BLUE CROSS BLUE SHIELD
FL
01
96809
BLUE CROSS BLUE SHIELD
FL
01
P00647574
RAILROAD MEDICARE
FL
Enumeration date
10/03/2006
Last updated
02/19/2019
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