Individual
AZEEZAT FASHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18956 N DALE MABRY HWY STE 102, LUTZ, FL 33548-4915
(813) 948-8597
Mailing address
18956 N DALE MABRY HWY, STE 102, LUTZ, FL 33548-4915
(813) 948-8597
(813) 949-5919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9330713
FL
Other
Enumeration date
08/16/2018
Last updated
05/01/2026
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