Individual
AILIZ BODZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13901 BRUCE B DOWNS BLVD, TAMPA, FL 33613-3905
(813) 615-7620
(813) 971-7953
Mailing address
13901 BRUCE B DOWNS BLVD, TAMPA, FL 33613-3905
(813) 615-7620
(813) 971-7953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111715
FL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
12/26/2018
Last updated
12/20/2021
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