| NPI | 1356318885 |
|---|---|
| Doing Business As | AZALEA HEALTH |
| Entity Type | Organization |
| Authorized Contact | LAURA M. SPENCER President/Chief Executive Officer 386-328-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: FL 2950022270) |
| 208D00000X General Practice | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2013-06-13 |