Provider Demographics
NPI:1902957871
Name:AZULA, AKYIAA (AP)
Entity Type:Individual
Prefix:DR
First Name:AKYIAA
Middle Name:
Last Name:AZULA
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1298 MINNESOTA AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-7114
Mailing Address - Country:US
Mailing Address - Phone:407-539-1991
Mailing Address - Fax:407-539-1996
Practice Address - Street 1:1298 MINNESOTA AVE
Practice Address - Street 2:SUITE A
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-7114
Practice Address - Country:US
Practice Address - Phone:407-539-1991
Practice Address - Fax:407-539-1996
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1536171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist