| Abu Azizullah MD PA | |
|
8550 Ne 138th Ln Bldg 800 Lady Lake FL 32159-8957 | |
| (352) 391-5299 | |
| (352) 391-5308 |
| Full Name | Abu Azizullah MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 8550 Ne 138th Ln, Lady Lake, Florida |
| Authorized Official Name and Position | Abu N Azizullah (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3523915299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abu Azizullah MD PA 8550 Ne 138th Ln Bldg 800 Lady Lake FL 32159-8957 Ph: (352) 391-5299 | Abu Azizullah MD PA 8550 Ne 138th Ln Bldg 800 Lady Lake FL 32159-8957 Ph: (352) 391-5299 |
| NPI Number | 1609064724 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 07/20/2011 |
| Medicare PECOS PAC ID | 7719075787 |
|---|---|
| Medicare Enrollment ID | O20071109000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609064724 | NPI | - | NPPES |
| 271012900 | Medicaid | FL | |
| 43231 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME86965 (Florida) | Primary |
| Provider Name | Arturo Castro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427052901 PECOS PAC ID: 3476526930 Enrollment ID: I20040823001350 |
| Provider Name | Abu N Azizullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538130117 PECOS PAC ID: 8921073396 Enrollment ID: I20040902001220 |
| Provider Name | Deborah D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083944003 PECOS PAC ID: 0749325975 Enrollment ID: I20150114000029 |
| Provider Name | Max L Birkhold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689069932 PECOS PAC ID: 1850612391 Enrollment ID: I20150609001053 |
| Provider Name | Connie Renea Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386028173 PECOS PAC ID: 1658540133 Enrollment ID: I20170201002519 |
| Provider Name | Ahlan Mohamed Jama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538309877 PECOS PAC ID: 6103099130 Enrollment ID: I20180505000138 |
| Provider Name | Daisy Renteria |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124696588 PECOS PAC ID: 8729477013 Enrollment ID: I20211108000125 |
| Provider Name | Winnie Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184400905 PECOS PAC ID: 4981125101 Enrollment ID: I20250319004323 |
Health First Internal Medicine Associates, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8562 Ne 138th Ln, Lady Lake, FL 32159 Phone: 352-633-8681 |
Mesos, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 County Road 466, Lady Lake, FL 32159 Phone: 352-259-8599 Fax: 352-259-8559 |
Pulse Medical Doctors LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 871 County Road 466, Suite 200, Lady Lake, FL 32159 Phone: 352-350-5130 Fax: 352-350-1684 |
Cogent Healthcare of Jacksonville, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Highway 466, Lady Lake, FL 32159 Phone: 352-430-0017 |
Vqol Primary Care Physician Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8550 Ne 138th Ln Ste 102, Lady Lake, FL 32159 Phone: 352-314-2922 |
New Traditions in Health, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13940 N Us Highway 441, Suite 906, Lady Lake, FL 32159 Phone: 352-205-8305 Fax: 352-750-1933 |