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NPI Code Detail

MEDICARE: ANDREW L. AZADIAN APRN

MEDICARE: ANDREW L. AZADIAN APRN
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
1363LA2200XAdult Health Nurse PractitionerAPRN2808082FL

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 : 1215272125
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW L. AZADIAN APRN
Provider Business Mailing Address
First Line : 5951 CATTLERIDGE AVE.
Second Line :
City : SARASOTA
State : FL
Zip : 34232-6063
Country : US
Telephone Number : 941-955-1108
Fax Number : 941-954-4440
Provider Business Practice Location Address
First Line : 5951 CATTLERIDGE AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34232-6063
Country : US
Telephone Number : 941-917-9000
Fax Number : 941-917-7193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2012
Last Update Date : 08/12/2025

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