Individual
CHRISTOPHER AZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 W GANDY BLVD, TAMPA, FL 33611-2931
(813) 925-1903
Mailing address
4957 SPANISH OAKS CIR, FERNANDINA BEACH, FL 32034-5679
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120544000
—
FL
Enumeration date
05/26/2023
Last updated
02/07/2025
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