| NPI | 1891762613 |
|---|---|
| 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 | 261QC1500X Clinic/Center, Community Health (Licence: FL 20021180) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-02-13 |