Anthony A. Azzarello in Daytona Beach - Physician Assistant

Anthony A. Azzarello - NPI 1073568747

Anthony A. Azzarello is a Physician Assistant in Daytona Beach, Florida. Anthony A. Azzarello practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Anthony A. Azzarello is 1073568747. The last update date is 2011-10-26.

Anthony A. Azzarello's current location address is 303 No. Clyde Morris Blvd., Daytona Beach, Florida. You can contact this provider via phone number 3864251800 and fax number 3864251804. The mailing address for Anthony A. Azzarello is 303 No. Clyde Morris Blvd., Daytona Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony A. Azzarello
Address 303 No. Clyde Morris Blvd., Daytona Beach, Florida
Phone Number 3864251800
Fax Number 3864251804
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1073568747
Provider Enumeration Date 2006-05-23
Last Updated Date 2011-10-26

Provider Mailing Address Detail

Address 303 No. Clyde Morris Blvd.
City Daytona Beach
State Florida (FL)
Post Code 321142709
Phone Number 3864251800
Fax Number 3864251804

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA9103151
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
292228200 FL --

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FAQs about Anthony A. Azzarello

Could you please share the complete physical address where Anthony A. Azzarello is geographically located?

The Anthony A. Azzarello is physically situated at the following location: 303 No. Clyde Morris Blvd., Daytona Beach, FL, 321142709.

What is Anthony A. Azzarello's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Anthony A. Azzarello is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When did Anthony A. Azzarello receive its 1073568747 assignment?

The Anthony A. Azzarello was assigned its 1073568747 on 2006-05-23, which is the date when this unique identifier was issued to the organization.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073568747 to Anthony A. Azzarello?

The Centers for Medicare & Medicaid Services originally issued the 1073568747 to Anthony A. Azzarello on 2006-05-23.

When was the information regarding Anthony A. Azzarello, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Anthony A. Azzarello, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-10-26.

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