Provider Demographics
NPI:1124719703
Name:A2Z MEDICAL LLC
Entity type:Organization
Organization Name:A2Z MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WATTKIS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-814-8700
Mailing Address - Street 1:15322 92ND CT N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-1767
Mailing Address - Country:US
Mailing Address - Phone:561-814-8400
Mailing Address - Fax:866-326-7807
Practice Address - Street 1:15322 92ND CT N
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412-1767
Practice Address - Country:US
Practice Address - Phone:561-814-8400
Practice Address - Fax:866-326-7807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty