Organization
ABU AZIZULLAH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABU N AZIZULLAH MD (PHYSICIAN/OWNER)
(352) 391-5299
Entity
Organization
Contact information
Practice address
8550 NE 138TH LN, BLDG 800, LADY LAKE, FL 32159-8957
(352) 391-5299
(352) 391-5308
Mailing address
8550 NE 138TH LN, BLDG 800, LADY LAKE, FL 32159-8957
(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
10/15/2007
Last updated
07/20/2011
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