Individual
MRS. KALEY JO AZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207
(904) 697-3600
(904) 697-3927
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
ARNP3406242
FL
363L00000X
Nurse Practitioner
Primary
3406242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009881100
—
FL
01
—
13815099
CAQH
FL
Enumeration date
08/26/2013
Last updated
10/22/2018
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