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NOMEN AZEEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9360 BALM RIVERVIEW RD, RIVERVIEW, FL 33569-5104
(813) 333-1353
(813) 333-2383
Mailing address
4700 N HABANA AVE STE 202, TAMPA, FL 33614-7150
(813) 333-1353
(813) 333-1618

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD040855
DC
208100000X
Physical Medicine & Rehabilitation Physician
ME122552
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME122552
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD.206598
LA LICENSE
LA
01
MD040855
DC LICENSE
DC
01
ME122552
MEDICAL LICENSE
FL
Enumeration date
07/09/2008
Last updated
07/21/2022
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