Maza, Jose Guillermo

Maza, Jose Guillermo is an individual health care provider with primary practice located at 851 Douglas Ave , Altamonte Springs FL 32714-2085. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Maza, Jose Guillermo can be contacted via phone (407) 332-0003.

Contact Information

Primary practice address
851 Douglas Ave Altamonte Springs FL 32714-2085
Phone: (407) 332-0003
Fax: (321) 295-0623
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 18555 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN545 Florida

Profile Details

NPI number 1467885640
LBN Legal business name Maza, Jose Guillermo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2013
Last updated May 31st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467885640 NPPES
Florida MEDICAID 012319300

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