MEDICARE: DR. JAMES AZZI M.D.

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	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	ME134770	FL

General Provider Information

NPI Number	:	1437417599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES AZZI M.D.

Provider Business Mailing Address
First Line	:	2151 S ALT A1A STE 425
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33477-4070
Country	:	US
Telephone Number	:	561-979-2001
Fax Number	:	561-462-0852

Provider Business Practice Location Address
First Line	:	2151 S ALT A1A STE 425
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33477-4070
Country	:	US
Telephone Number	:	561-979-2001
Fax Number	:	561-462-0852

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2012
Last Update Date	:	08/01/2024

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