MEDICARE: DR. JEAN-PAUL AZZI MD

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	207YS0123X	Facial Plastic Surgery Physician	ME117560	FL

General Provider Information

NPI Number	:	1821251216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEAN-PAUL AZZI MD

Provider Business Mailing Address
First Line	:	8168 SE PILOTS COVE TER
Second Line	:
City	:	HOBE SOUND
State	:	FL
Zip	:	33455-3929
Country	:	US
Telephone Number	:	352-871-1015
Fax Number	:

Provider Business Practice Location Address
First Line	:	4495 MILITARY TRL STE 202
Second Line	:	THE PALM BEACH CENTER FOR FACIAL PLASTIC AND LASER SURG
City	:	JUPITER
State	:	FL
Zip	:	33458-4818
Country	:	US
Telephone Number	:	561-627-6277
Fax Number	:

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

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	05/02/2014

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