Provider Demographics
NPI:1437354958
Name:AZIZ, CHRISTINE A (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:AZIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:151 VICTORIA COMMONS BLVD
Mailing Address - Street 2:STE 102
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-7722
Mailing Address - Country:US
Mailing Address - Phone:386-740-4982
Mailing Address - Fax:386-734-8512
Practice Address - Street 1:151 VICTORIA COMMONS BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-7722
Practice Address - Country:US
Practice Address - Phone:386-740-4082
Practice Address - Fax:386-734-8512
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME100029207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine