Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | ME114237 | FL |
NPI | 1851512990 |
---|---|
Provider Name | Zeeshan Sarwar Aziz |
First Address | Jacksonville, FL 32203-1516 |
Second Address | Fernandina Beach, FL 32034-4785 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 14/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008601100 | (05) | FL |
14Q86 | FL BLUE (01) | FL |
P01699168 | RR MEDICARE (01) | FL |