Provider Demographics
NPI:1003036013
Name:CARLOS A AZAR MD PA
Entity Type:Organization
Organization Name:CARLOS A AZAR MD PA
Other - Org Name:FLORIDA HAND CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:AZAR
Authorized Official - Suffix:
Authorized Official - Credentials:ME 44462
Authorized Official - Phone:305-835-7300
Mailing Address - Street 1:8940 N KENDALL DR
Mailing Address - Street 2:SUITE 705 E
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2148
Mailing Address - Country:US
Mailing Address - Phone:305-835-7300
Mailing Address - Fax:305-696-3128
Practice Address - Street 1:8940 N KENDALL DR
Practice Address - Street 2:SUITE 705 E
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2148
Practice Address - Country:US
Practice Address - Phone:305-835-7300
Practice Address - Fax:305-696-3128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME444622086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTAX ID #
FLEJ241AMedicare PIN