| Aza Health | |
|
1425 Dunn Ave Daytona Beach FL 32114-1437 | |
| (386) 323-9600 | |
| (386) 323-9695 |
| Full Name | Aza Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1425 Dunn Ave, Daytona Beach, Florida |
| Authorized Official Name and Position | Laura M Spencer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3863280108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aza Health 1302 River St Palatka FL 32177-5042 Ph: (386) 326-7342 | Aza Health 1425 Dunn Ave Daytona Beach FL 32114-1437 Ph: (386) 323-9600 |
| NPI Number | 1891227179 |
|---|---|
| Provider Enumeration Date | 03/28/2017 |
| Last Update Date | 02/13/2020 |
| Medicare PECOS PAC ID | 7214849520 |
|---|---|
| Medicare Enrollment ID | O20171110001558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891227179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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