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NPI Code Detail

MEDICARE: VINCENT B AZZUE, O.D., P.A.

MEDICARE: VINCENT B AZZUE, O.D., P.A.
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
1152W00000XOptometristOPC 2877FL

Other Identifiers

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

General Provider Information

NPI Number : 1285939728
Entity Type Code : Organization
Provider Name (Legal Business Name) : VINCENT B AZZUE, O.D., P.A.
Provider Business Mailing Address
First Line : 8505 LITTLE RD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34654-4924
Country : US
Telephone Number : 727-844-3223
Fax Number : 727-844-3201
Provider Business Practice Location Address
First Line : 8505 LITTLE RD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34654-4924
Country : US
Telephone Number : 727-844-3223
Fax Number : 727-844-3201
Authorized Official
Title or Position : OWNER
Name : DR. VINCENT BARTH AZZUE
Credential : O.D.
Telephone Number : 727-844-3223
Provider Enumeration Date : 01/13/2011
Last Update Date : 01/13/2011

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