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Organization
MICHAEL D MOZZETTI MD PL
Active
Organization
MICHAEL D MOZZETTI MD PL
Active
Other names
Express Care Medical Cinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DOMINIC MOZZETTI SR. MD, PL (OWNER)
(941) 629-1218
Entity
Organization
Contact information
Practice address
3161 HARBOR BLVD, SUITE A, PORT CHARLOTTE, FL 33952-6754
(941) 629-1218
(941) 625-9465
Mailing address
3161 HARBOR BLVD, SUITE A, PORT CHARLOTTE, FL 33952-6754
(941) 629-1218
(941) 625-9465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME069032
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1867775
AETNA
FL
01
—
262587296
HUMANA
FL
01
—
32306
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/16/2008
Last updated
03/22/2017
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