Azelvandre DO and Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AZELVANDRE DO AND ASSOCIATES LLC

Practice address

301 S Milwee St
Longwood, FL 32750-4127

Phone

(407) 339-1060

Fax

(407) 339-1081

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Azelvandre, DONPI 1639160831

Title

Owner/Physician

Phone

(407) 339-1060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Azelvandre, D.O.

  • Family Medicine Physician
  • Longwood, FL
  • NPI 1639160831
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1760681118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MILWEE ST",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504127",
            "telephone_number": "407-339-1060",
            "fax_number": "407-339-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MILWEE ST",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504127",
            "telephone_number": "407-339-1060",
            "fax_number": "407-339-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZELVANDRE DO AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "AZELVANDRE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "407-339-1060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne R Audette, CNM
• Patrick Raymond Audley, M.D.
• Aurora Center for Autism
• Aurumhealth Mobile Medicine
• Jannelys Aviles Aguilar, MD
• Jacqueline Azelvandre, D.O.
• Caitlyn Aznar
• Azure Transit
• Babble Babble and Beyond
• Kalyan K Bachu, MD

• Family Medicine Physician in Longwood, FL
• Providers in Longwood, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.