Azzarello, Anthony A.

Azzarello, Anthony A. is an sole proprietor health care provider with primary practice located at 303 No. Clyde Morris Blvd. Halifax Medical Center - Chest Pain Center, Daytona Beach FL 32114-2709. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Azzarello, Anthony A. can be contacted via phone (386) 425-1800.

Contact Information

Primary practice address
303 No. Clyde Morris Blvd. Halifax Medical Center - Chest Pain Center Daytona Beach FL 32114-2709
Phone: (386) 425-1800
Fax: (386) 425-1804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103151 Florida

Profile Details

NPI number 1073568747
LBN Legal business name Azzarello, Anthony A.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Oct 26th, 2011 - about 13 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 1073568747 NPPES
Florida MEDICAID 292228200

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