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NPI Code Detail

MEDICARE: DR. FERHAN AZIZ D.D.S.

MEDICARE:  DR. FERHAN  AZIZ  D.D.S.
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
11223S0112XOral and Maxillofacial Surgery (Dentist)DN24602FL

General Provider Information

NPI Number : 1588077812
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FERHAN AZIZ D.D.S.
Provider Business Mailing Address
First Line : 1728 DUNLAWTON AVE STE 3
Second Line :
City : PORT ORANGE
State : FL
Zip : 32127-2923
Country : US
Telephone Number : 386-675-0088
Fax Number :
Provider Business Practice Location Address
First Line : 1728 DUNLAWTON AVE STE 3
Second Line :
City : PORT ORANGE
State : FL
Zip : 32127-2923
Country : US
Telephone Number : 386-675-0088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2014
Last Update Date : 02/23/2026

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Directions to “ DR. FERHAN AZIZ D.D.S.” Practice Location

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