Healthcare Provider Details

I. General information

NPI: 1215272125
Provider Name (Legal Business Name): ANDREW L. AZADIAN APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2012
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5951 CATTLERIDGE AVE
SARASOTA FL
34232-6063
US

IV. Provider business mailing address

5951 CATTLERIDGE AVE.
SARASOTA FL
34232-6063
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-9000
  • Fax: 941-917-7193
Mailing address:
  • Phone: 941-955-1108
  • Fax: 941-954-4440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN2808082
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: