Individual
ABU N AZIZULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8550 NE 138TH LANE, THE OAKS AT 138 BLDG 800, LADY LAKE, FL 32159-6816
(352) 391-5299
(352) 391-5308
Mailing address
8550 NE 138TH LANE, THE OAKS AT 138 BLDG 800, LADY LAKE, FL 32159-6816
(352) 391-5299
(352) 391-5308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME86965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271012900
—
FL
01
—
43231
BCBS
FL
Enumeration date
01/31/2006
Last updated
04/11/2011
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