Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | ME134770 | FL |
NPI | 1437417599 |
---|---|
Provider Name | Dr. James Azzi |
First Address | Jupiter, FL 33458-4818 |
Second Address | Jupiter, FL 33458 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2012 |
Last Update Date | 05/11/2018 |