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NPI Code Detail

MEDICARE: DR. GEORGE P AZAR JR. M.D., PA

MEDICARE: DR. GEORGE P AZAR JR. M.D., PA
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianME0056075FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104888429
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE P AZAR JR. M.D., PA
Provider Business Mailing Address
First Line : 6333 N FEDERAL HWY
Second Line : SUITE 270
City : FT LAUDERDALE
State : FL
Zip : 33308-1907
Country : US
Telephone Number : 954-771-6047
Fax Number : 954-771-2927
Provider Business Practice Location Address
First Line : 6333 N FEDERAL HWY
Second Line : SUITE 270
City : FT LAUDERDALE
State : FL
Zip : 33308-1907
Country : US
Telephone Number : 954-771-6047
Fax Number : 954-771-2927
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 04/20/2017

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