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NPI Code Detail

MEDICARE: MR. ESAAN JOSEPH AZIZI

MEDICARE: MR. ESAAN JOSEPH AZIZI
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1255289914
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ESAAN JOSEPH AZIZI
Provider Business Mailing Address
First Line : 414 THE PLACE CT APT A15
Second Line :
City : TAMPA
State : FL
Zip : 33606-3760
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 560 CHANNELSIDE DR
Second Line :
City : TAMPA
State : FL
Zip : 33602-5618
Country : US
Telephone Number : 813-396-9459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “ MR. ESAAN JOSEPH AZIZI ” Practice Location

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