Individual
JACOB AZIZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 NW 95TH ST, MIAMI, FL 33150-2038
(305) 615-8405
Mailing address
2500 SW 75TH AVE, MIAMI, FL 33155-2805
(305) 264-5252
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PR819
FL
Other
Enumeration date
07/19/2023
Last updated
02/09/2024
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