Individual provider · Type 1 NPI

Johnathan Azar, MD

Student in an Organized Health Care Education/Training Program · Orange Park, FL

NPI number 1700588258 Active

Practice location

2001 Kingsley Ave
Orange Park, FL 32073-5148

Call (904) 639-8242 Map

Mailing address

4432 Ellipse Dr
Jacksonville, FL 32246-7450

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

282 other providers at this address

Other student in an organized health care education/training program providers in Orange Park

See all in Orange Park →

About NPI 1700588258

Johnathan Azar, MD's National Provider Identifier is 1700588258, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange Park, FL. The record was last updated on Mar 20, 2023.