Jacqueline Azelvandre (NPI# 1639160831, PAC ID# 7618064148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639160831 |
| PAC ID by PECOS | 7618064148 |
| Professional Enrollment ID | I20071031000448 |
| Full Name | Jacqueline Azelvandre |
| Address |
301 S Milwee St Longwood FL 32750-4127 |
| Gender | F |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| 100006 | ORLANDO HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 301 S Milwee St, Longwood, FL 32750-4127 |
| Street Address |
301 S MILWEE ST |
| City | LONGWOOD |
| State | FL |
| Zip | 32750-4127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessie A Cirolia | Nurse Practitioner | Azelvandre Do and Associates LLC | 301 S Milwee St, Longwood, FL 32750-4127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc H Sherman | Optometry | 1495 W St Rd, 434 Suite 109, Longwood, FL 32750-3861 | |
| Marcial Serrano | Psychiatry | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
| Julie A Harper | Clinical Social Worker | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
| Gilbert Tetteh Tamakloe | Psychiatry | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
| Dennis E Platt | Psychiatry | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
| Lorraine J Rouse | Nurse Practitioner | Orlando Health Physician Group Inc | 455 W Warren Ave, Longwood, FL 32750-4002 |
| Debra Ann Dube | Internal Medicine | 901 W Warren Ave, Longwood, FL 32750-4003 | |
| Sherrine Faye Richmond | Nurse Practitioner | Lpmg Inc | 212 W Bay Ave, Longwood, FL 32750-4126 |
| Nam-kha N Pham | Interventional Pain Management | Florida Pain and Rehabilitation Associates Inc | 451 S Milwee St, Suite 1010, Longwood, FL 32750-4137 |
| Patrice M Muse | Nurse Practitioner | Walter A Conlan IIi Md Pa | 515 W Sr, 434 Suite 101, Longwood, FL 32750-4138 |
| Find all physicians in zip 32750 | |||
| City | LONGWOOD |
| Zip Code | 32750 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LONGWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jacqueline Azelvandre.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.