Azar, Kaley Jo

Azar, Kaley Jo is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Azar, Kaley Jo can be contacted via phone (904) 697-3600.

Contact Information

Primary practice address
807 Childrens Way Jacksonville FL 32207
Phone: (904) 697-3600
Fax: (904) 697-3927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ARNP3406242 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3406242 Florida

Profile Details

NPI number 1437583572
LBN Legal business name Azar, Kaley Jo
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2013
Last updated Oct 22nd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437583572 NPPES
Florida Other 13815099 CAQH
Florida MEDICAID 009881100 CAQH

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