Individual provider · NPI-1

Karel Amet Azan

Case Manager/Care Coordinator · Doral, FL

NPI number1053079467
StatusActive
Last updated in NPPESDec 2, 2021

Details

NPI
1053079467
Entity type
Individual (NPI-1)
Name
Karel Amet Azan
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 2, 2021
Certification date
Dec 2, 2021
Last updated
Dec 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care CoordinatorCBHCM104232FLYes

Practice location

8180 Nw 36th St Ste 209
Doral, FL 33166-6653

Phone 786-334-6946 · Fax 786-313-3079

Mailing address

8180 Nw 36th St Ste 209
Doral, FL 33166-6653

Phone 786-334-6946 · Fax 786-313-3079

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