NPI | 1477529311 |
---|---|
Doing Business As | AZA 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 L8000010911) |
Enumeration Date | 2006-02-28 |
Last Update Date | 2020-02-13 |