Individual
ZEESHAN SARWAR AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1348 S 18TH ST, SUITE 340, FERNANDINA BEACH, FL 32034-4785
(904) 775-5957
(904) 844-2149
Mailing address
PO BOX 41516, JACKSONVILLE, FL 32203-1516
(904) 202-5111
(904) 391-5836
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
ME114237
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008601100
—
FL
01
—
14Q86
FL BLUE
FL
01
—
P01699168
RR MEDICARE
FL
Enumeration date
05/02/2007
Last updated
11/14/2016
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