Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | ME117560 | FL |
NPI | 1821251216 |
---|---|
Provider Name | Dr. Jean-Paul Azzi |
First Address | Hobe Sound, FL 33455-3929 |
Second Address | Jupiter, FL 33458-4818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 02/05/2014 |