MEDICARE: DR. ABDUL MAJID AZIZI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DN15621	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053329995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDUL MAJID AZIZI DMD

Provider Business Mailing Address
First Line	:	801 CHAMPION WOODS CT
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-7164
Country	:	US
Telephone Number	:	407-756-7172
Fax Number	:

Provider Business Practice Location Address
First Line	:	19051 US HIGHWAY 441 STE 100
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-6708
Country	:	US
Telephone Number	:	352-735-5005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	06/04/2013

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