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

Johnathan Azar, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700588258

Johnathan Azar, MD is a Student in an Organized Health Care Education/Training Program in Orange Park, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone: (904) 639-8242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1700588258
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023
Mailing address4432 Ellipse Dr, Jacksonville, FL 32246-7450

Other providers in Orange Park