Individual
WALID TALAT AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19046 BRUCE B DOWNS BLVD # 1439, TAMPA, FL 33647-2434
(727) 238-5911
Mailing address
19046 BRUCE B DOWNS BLVD # 1439, TAMPA, FL 33647-2434
(727) 238-5911
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
100661
GA
2084P0802X
Addiction Psychiatry Physician
Primary
ME136103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115916400
—
FL
Enumeration date
03/27/2014
Last updated
08/21/2024
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