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1700588258
JOHNATHAN AZAR
ORANGE PARK, FL
NPI
1700588258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
JOHNATHAN AZAR MD
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 904-639-8242
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Mailing Address
JOHNATHAN AZAR MD
4432 ELLIPSE DR
JACKSONVILLE, FL 32246-7450
Phone number:
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