Mazza, Joseph F

Mazza, Joseph F is an individual health care provider with primary practice located at 12640 Creekside Ln , Ft Myers FL 33919-3359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Mazza, Joseph F can be contacted via phone (239) 482-7676.

Contact Information

Primary practice address
12640 Creekside Ln Ft Myers FL 33919-3359
Fax: (239) 482-7604
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME42670 Florida

Profile Details

NPI number 1639148281
LBN Legal business name Mazza, Joseph F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jun 22nd, 2021 - about 4 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 1639148281 NPPES
Florida Other 07873 BLUE CROSS BLUE SHEILD
Florida MEDICAID 001572600 BLUE CROSS BLUE SHEILD

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