Mazzoni, Michael

Mazzoni, Michael is an sole proprietor health care provider with primary practice located at 200 Leese Dr , Saint Johns FL 32259-6967. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mazzoni, Michael can be contacted via phone (210) 243-5456.

Contact Information

Primary practice address
200 Leese Dr Saint Johns FL 32259-6967
Phone: (210) 243-5456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1123046 Texas

Profile Details

NPI number 1295133197
LBN Legal business name Mazzoni, Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2014
Last updated Dec 9th, 2014 - about 12 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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