Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abu Azizullah MD PA

Organization Internal Medicine Physician · NPI 1609064724

Abu Azizullah MD PA is an Internal Medicine Physician in Lady Lake, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8550 NE 138th Ln Bldg 800
Lady Lake, FL 32159-8957
Phone: (352) 391-5299
Fax: (352) 391-5308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME86965 (FL)

Record details

NPI number1609064724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abu Azizullah — Physician/Owner · (352) 391-5299
NPI enumeratedOctober 15, 2007
Last updated in NPPESJuly 20, 2011
Mailing address8550 Ne 138th Ln, Bldg 800, Lady Lake, FL 32159-8957

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