Organization
AZELVANDRE DO AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE AZELVANDRE DO (OWNER/PHYSICIAN)
(407) 339-1060
Entity
Organization
Contact information
Practice address
301 S MILWEE ST, LONGWOOD, FL 32750-4127
(407) 339-1060
(407) 339-1081
Mailing address
301 S MILWEE ST, LONGWOOD, FL 32750-4127
(407) 339-1060
(407) 339-1081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2007
Last updated
02/06/2024
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