Rubina Azam, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME91470 Issued in FL

Practice address

6789 Southpoint Pkwy Ste 202
Jacksonville, FL 32216-8206

Phone

(850) 628-9240

Fax

(850) 248-2469

NPI assigned

Apr 18, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baldwin Pediatrix

  dba Mango Pediatrics

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1487971842
  NPD Authorized official
• Centre for Integrative and Holistic Medicine

  dba Brain, Gut and ADHD Center

  • Health Service Clinic/Center
  • Panama City, FL
  • NPI 1295230258
  NPD (past) Authorized official
• Primary Care Center of Lynn Haven

  • Internal Medicine Physician
  • Lynn Haven, FL
  • NPI 1700803624
  NPD (past)
• Primary Care Center, P.a.

  dba Primary Care Center

  • Internal Medicine Physician
  • Lynn Haven, FL
  • NPI 1306803556
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1689639114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551269",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551269",
            "telephone_number": "904-853-1763",
            "fax_number": "850-248-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6789 SOUTHPOINT PKWY STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168206",
            "telephone_number": "850-628-9240",
            "fax_number": "850-248-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAM",
        "first_name": "RUBINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME91470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127652200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "50231",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayg Medical Staffing LLC (AYG Home Care)
• Mohammad Rushdi Ayoub, MD
• Agnes Elizabeth Aysola, M.D.
• Mohammad A Ayubi, M.D.
• Haneen Sara Ayyoubi, PA-C
• Shelina Azan
• Azar Transportation Services, LLC
• Azar Transportation Services, LLC
• Darian Azar
• Kaley Jo Azar, ARNP

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.