Active NPI
Jason David Azar, APRN, FNP-BC
- Family Nurse Practitioner
- Wildwood, FL
National Provider Identifier
1043043839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11034872
- Practice address
- 205 Oxford St
Wildwood, FL 34785-4012 - Phone
- (352) 460-4268
- NPI assigned
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11034872 | FL | Primary |
Addresses
Primary practice location
205 Oxford St
Wildwood, FL 34785-4012
Mailing address
260 S Osceola Ave Unit 703
Orlando, FL 32801-2812
Phone (202) 297-5519
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11034872 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1043043839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 S OSCEOLA AVE UNIT 703",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328012812",
"telephone_number": "202-297-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 OXFORD ST",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347854012",
"telephone_number": "352-460-4268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZAR",
"first_name": "JASON",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "APRN, FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11034872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wildwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.