person
Johnathan Azar, MD
Student in an Organized Health Care Education/Training Program in Orange Park, Florida
NPI 1700588258

Johnathan Azar is a Student in an Organized Health Care Education/Training Program based in Jacksonville, FL. Johnathan Azar practices in Orange Park, FL and has the professional credentials of MD. The NPI Number for Johnathan Azar is 1700588258 and holds a License No. (Florida).

The current practice location address for Johnathan Azar is 2001 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-639-8242.

Location: 2001 Kingsley Ave, Orange Park, FL, 32246-7450
person
Provider Profile Details
NPI Number
1700588258
Provider Name
Johnathan Azar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2001 Kingsley Ave, Orange Park, FL, 32246-7450
Phone Number
904-639-8242
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Kingsley Ave
City
State
Zip
32073-5148
Phone Number
904-639-8242
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Kingsley Ave
City
State
Zip
32073-5148
Phone Number
904-639-8242
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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