Individual
DR. AJMAL AZIZ SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 CENTURY MEDICAL DR, TITUSVILLE, FL 32796-2141
(321) 383-8092
(321) 383-1043
Mailing address
8043 SPYGLASS HILL RD, MELBOURNE, FL 32940-8563
(321) 255-6670
(321) 242-2545
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME107032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1495H
BCBS FL
FL
Enumeration date
06/01/2007
Last updated
08/23/2010
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