| NPI | 1871569061 |
|---|---|
| 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 | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| 261QC1500X Clinic/Center, Community Health (Licence: FL L800009137) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-02-10 |