Provider Demographics
NPI:1164316394
Name:NARGIZA AYUPOVA PLLC
Entity type:Organization
Organization Name:NARGIZA AYUPOVA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NARGIZA
Authorized Official - Middle Name:A
Authorized Official - Last Name:AYUPOVA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:386-237-2268
Mailing Address - Street 1:203 ASHWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-1501
Mailing Address - Country:US
Mailing Address - Phone:386-237-2268
Mailing Address - Fax:
Practice Address - Street 1:203 ASHWOOD CT
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-1501
Practice Address - Country:US
Practice Address - Phone:386-237-2268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty