| NPI | 1811429806 |
|---|---|
| Doing Business As | AZA HEALTH |
| Entity Type | Organization |
| Authorized Contact | LAURA M SPENCER Chief Executive Officer 386-328-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208D00000X General Practice |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2022-08-01 |