MEDICARE: AZIMUTH HEALTH, 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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1306450085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZIMUTH HEALTH, LLC

Provider Business Mailing Address
First Line	:	4204 W LINEBAUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-5241
Country	:	US
Telephone Number	:	813-940-8855
Fax Number	:

Provider Business Practice Location Address
First Line	:	4204 W LINEBAUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-5241
Country	:	US
Telephone Number	:	813-940-8855
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DUELLYN PANDIS
Credential	:	DNP, APRN, FNP-C
Telephone Number	:	813-940-8855

Provider Enumeration Date	:	09/01/2020
Last Update Date	:	06/03/2026

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Directions to “AZIMUTH HEALTH, LLC ” Practice Location

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