Provider Demographics
NPI:1821251216
Name:AZZI, JEAN-PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN-PAUL
Middle Name:
Last Name:AZZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8168 SE PILOTS COVE TER
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-3929
Mailing Address - Country:US
Mailing Address - Phone:352-871-1015
Mailing Address - Fax:
Practice Address - Street 1:4495 MILITARY TRL STE 202
Practice Address - Street 2:THE PALM BEACH CENTER FOR FACIAL PLASTIC AND LASER SURG
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4818
Practice Address - Country:US
Practice Address - Phone:561-627-6277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME117560207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery