Individual
BRETTY AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2021 PROFESSIONAL CENTER DR STE 101, ORANGE PARK, FL 32073-4461
(904) 213-9210
Mailing address
2021 PROFESSIONAL CENTER DR STE 101, ORANGE PARK, FL 32073-4461
(904) 213-9210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ME172696
FL
Other
Enumeration date
06/06/2022
Last updated
07/24/2025
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