| Mariam Azizi, PA-C | |
|
1950 Hospital View Way, Clermont, FL 34711-1926 | |
| (352) 243-3443 | |
| Not Available |
| Full Name | Mariam Azizi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 1950 Hospital View Way, Clermont, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487443016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orlando Health South Lake Hospital | Clermont, FL | Hospital |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ability Health Services, Inc | 4082523329 | 1249 |
| Ability Health Services And Rehabilitation Lp | 4981986288 | 1260 |
| South Lake Medical Center Inc | 2264521749 | 6 |
| Entity Name | South Lake Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144414038 PECOS PAC ID: 2264521749 Enrollment ID: O20071207000048 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Azizi, PA-C 4570 Capital Dome Dr, Jacksonville, FL 32246-7457 Ph: Not Available | Mariam Azizi, PA-C 1950 Hospital View Way, Clermont, FL 34711-1926 Ph: (352) 243-3443 |
Tina Jing-yuen So, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1900 Don Wickham Dr Ste 120, Clermont, FL 34711 Phone: 352-241-7050 |
Dr. Yanet Lopez Valdes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 245 Citrus Tower Blvd Ste 201, Clermont, FL 34711 Phone: 352-708-3021 Fax: 352-708-6153 |
Michael J Clark, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1099 Citrus Tower Blvd, Clermont, FL 34711 Phone: 352-394-4071 Fax: 904-346-0113 |
Camille Suzette Morales Zambrana, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2345 E Highway 50, Clermont, FL 34711 Phone: 407-347-8287 |
Melanie Bustamante, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2345 E Hwy 50, Clermont, FL 34711 Phone: 352-717-3760 |
Ms. Anne L Cardaci, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17327 Pagonia Rd, Clermont, FL 34711 Phone: 407-905-6006 Fax: 407-636-7806 |
Alexa Diaz, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20400 Sugarloaf Mountain Rd, Clermont, FL 34715 Phone: 954-999-3610 |