Individual
DR. KEITH TARIQ AZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S FL 32224, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S FL 32224, JACKSONVILLE, FL 32224-1865
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.138904
OH
207X00000X
Orthopaedic Surgery Physician
Primary
ME152027
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2015
Last updated
08/30/2021
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