Organization
AZALEA MEDICAL, L.L.C.
Active
Other names
Azalea Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHARINE J. ROSE M.D. (PRESIDENT)
(504) 434-2330
Entity
Organization
Contact information
Practice address
3305 METAIRIE RD., STE. 1, METAIRIE, LA 70001
(504) 434-2330
(504) 885-0820
Mailing address
3305 METAIRIE RD., STE. 1, METAIRIE, LA 70001
(504) 434-2330
(504) 885-0820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201310
LA
251T00000X
PACE Provider Organization
201310
FL
Other
Enumeration date
04/10/2014
Last updated
02/28/2019
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