Vincent A Azzara D.O.

NPI 1164404257 - Internal Medicine - 207R00000X

NPI Details
NPI 1164404257
Gender Male
Enumeration Date 11/15/2005
Last Updated 08/04/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
7381 COLLEGE PKWY
SUITE 110
FORT MYERS FL, 33907-5548, US
Phone (239) 482-1010
Fax (239) 481-1481
Business Location
13740 CYPRESS TERRACE CIR
FORT MYERS FL, 33907-8827, US
Phone (239) 275-5522
Fax (239) 275-4464
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number OS5451
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According to our database, Dr. Vincent A Azzara D.O. NPI is 1164404257, taxonomy code is 207R00000X and license number is OS5451, license state is located at Florida. Vincent A Azzara D.O. physically located at 7381 College Pkwy, Fort Myers FL, 33907-5548. NPI Number Vincent A Azzara D.O. has the Individual type.

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1164404257 NPI number is provided on an as is basis without warranty of any kind. 1164404257 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent A Azzara D.O. are for informational purposes only.