Abu Azizullah Md Pa

LBN: Abu Azizullah Md Pa
Abu Azizullah Md Pa is an health care organization with primary practice located at 8550 Ne 138Th Ln Bldg 800, Lady Lake FL 32159-8957. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Abu Azizullah Md Pa can be contacted via phone (352) 391-5299, or through Azizullah, Abu N via phone (352) 391-5299.

Contact Information

Primary practice address
8550 Ne 138Th Ln Bldg 800 Lady Lake FL 32159-8957
Fax: (352) 391-5308
Website:
Authorized official contact:
Name: Azizullah, Abu N Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME86965 Florida

Profile Details

NPI number 1609064724
LBN Legal business name Abu Azizullah Md Pa
DBA Doing business as
Authorized official Azizullah, Abu N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2007
Last updated Jul 20th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609064724 NPPES
Florida MEDICAID 271012900
Florida Other 43231

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