MEDICARE: AZADVANCES LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1043147911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZADVANCES LLC

Provider Business Mailing Address
First Line	:	3680 AVALON PARK EAST BLVD STE 200
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-9373
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3680 AVALON PARK EAST BLVD STE 200
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-9373
Country	:	US
Telephone Number	:	407-900-9770
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	HASAN AZAD
Credential	:
Telephone Number	:	407-900-9770

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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