Provider Demographics
NPI:1003319898
Name:AZARFAR, AZIN (MD)
Entity Type:Individual
Prefix:DR
First Name:AZIN
Middle Name:
Last Name:AZARFAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 SW ARCHER RD FL 4
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0221
Mailing Address - Country:US
Mailing Address - Phone:352-265-4846
Mailing Address - Fax:352-627-4268
Practice Address - Street 1:1600 SW ARCHER RD FL 4
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0221
Practice Address - Country:US
Practice Address - Phone:352-265-4846
Practice Address - Fax:352-627-4268
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-17
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME150729207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program