AZEEZAT FASHOLA (NPI# 1962982207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962982207 |
| Entity Type | Individual |
| Full Name | AZEEZAT FASHOLA |
| Credential | NP |
| Practice Address |
18956 N Dale Mabry Hwy Ste 102 Lutz FL 33548-4915 |
| Mailing Address |
18956 N Dale Mabry Hwy Ste 102 Lutz FL 33548-4915 |
| Practice Telephone | 8139488597 |
| Mailing Telephone | 8139488597 |
| Mailing Fax Number | 8139495919 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9330713 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18956 N DALE MABRY HWY STE 102 |
| City | LUTZ |
| State | FL |
| Zip Code | 33548-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205337821 | Chiros On 54 LLC | Chiropractor | 1003 N Dale Mabry Hwy, Lutz, FL 33548 | 2018-02-28 |
| 1295233666 | Issac M Arroyo | Behavior Technician | 18288 Us 41, Lutz, FL 33548 | 2018-01-31 |
| 1699293225 | Lettuce Lake Emergency Physicians LLC | Physician Assistant | 1430 Dale Mabry Highway, Lutz, FL 33548 | 2017-09-04 |
| 1780010512 | Yanina Abaunza-fiallos Md Pa | Pediatrics | 17541 N. Dale Mabry Hwy., Lutz, FL 33548 | 2013-09-25 |
| 1891138459 | Atlas Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 3859 Van Dyke Rd, Suite 161, Lutz, FL 33548 | 2013-04-14 |
| 1407122492 | Tania Isabel Mendoza | Pathology | 19045 N Dale Mabry Hwy, Lutz, FL 33548 | 2012-03-24 |
| 1528362944 | Life Discovery Counseling Center | Counselor | 18371 Exciting Idlewild Blvd, Lutz, FL 33548 | 2010-12-28 |
| 1356643423 | Heidi Jane Pickering | Chiropractor | 19011 N Dale Mabry, Lutz, FL 33548 | 2010-11-23 |
| 1992015762 | Yolanda R. Harper | Social Worker | 1527 Dale Mabry Hwy Ste 103, Lutz, FL 33548 | 2010-10-14 |
| 1821231846 | Michael Lee Bishop | Psychologist | 18958 N Dale Mabry Hwy, Ste 102, Lutz, FL 33548 | 2009-04-07 |
| Find all providers in zip 33548 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
| 1801406194 | Victoria Gonzalez | Nurse Practitioner | 18249 Clear Lake Dr, Lutz, FL 33548-6436 | 2020-08-03 |
| 1740808385 | Jesus Ivan Gonzalez Batista | Nurse Practitioner | 22628 Royal Ridge Ct, Lutz, FL 33549-8781 | 2020-07-09 |
| 1992336440 | Linda Marie Unger | Nurse Practitioner | 2077 Wetland Pt Unit 1201, Lutz, FL 33558-5463 | 2020-02-03 |
| 1629626718 | Amy Marie Algood | Nurse Practitioner | 2507 Chateau Dr, Lutz, FL 33559-4006 | 2019-08-31 |
| 1649837352 | Alycia Buford Boudreau | Nurse Practitioner | 19605 Morden Blush Dr, Lutz, FL 33558-9087 | 2019-05-29 |
| 1316424153 | Melissa Rae Waller | Nurse Practitioner | 1860 Bearberry Cir Apt 208, Lutz, FL 33559-8778 | 2018-07-24 |
| 1235621806 | Eliana Hicks | Nurse Practitioner | 2404 Towery Trl, Lutz, FL 33549-3779 | 2018-05-30 |
| 1831643485 | Jennifer Childers | Nurse Practitioner | 24229 Lakerush Ct, Lutz, FL 33559-7330 | 2016-08-11 |
| 1295183739 | Simpliderm, LLC | Nurse Practitioner | 17907 Sparrows Nest Drive, Suite 103, Lutz, FL 33558-8025 | 2016-05-25 |
| Find all providers in LUTZ | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.