Mazingo, Abigail Lee

Mazingo, Abigail Lee is an sole proprietor health care provider with primary practice located at 1250 S 18Th St 202, Fernandina Beach FL 32034-1902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mazingo, Abigail Lee can be contacted via phone (904) 277-4690.

Contact Information

Primary practice address
1250 S 18Th St 202 Fernandina Beach FL 32034-1902
Phone: (904) 277-4690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 9357794 Florida

Profile Details

NPI number 1205289303
LBN Legal business name Mazingo, Abigail Lee
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2016
Last updated Jul 13th, 2016 - about 10 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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