Provider Demographics
NPI:1033794508
Name:AZOR HEALTH INC
Entity Type:Organization
Organization Name:AZOR HEALTH INC
Other - Org Name:AZOR HOME HEALTH LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO/P
Authorized Official - Prefix:
Authorized Official - First Name:ONIX
Authorized Official - Middle Name:
Authorized Official - Last Name:CANIZARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-808-9558
Mailing Address - Street 1:12039 SW 132ND CT UNIT 28-2
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4785
Mailing Address - Country:US
Mailing Address - Phone:786-478-6230
Mailing Address - Fax:786-478-6243
Practice Address - Street 1:12039 SW 132ND CT UNIT 28-2
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4785
Practice Address - Country:US
Practice Address - Phone:786-478-6230
Practice Address - Fax:786-478-6243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRBT20-122257OtherBACB