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Organization
IDA MAZZONE MD PA
Active
Organization
IDA MAZZONE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDA MAZZONE MD (PRESIDENT)
(239) 465-9722
Entity
Organization
Contact information
Practice address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(239) 348-4400
(239) 236-1300
Mailing address
2338 IMMOKALEE RD, #149, NAPLES, FL 34110-1445
(239) 465-9722
(239) 236-1300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME74663
FL
Other
Enumeration date
02/19/2009
Last updated
02/24/2009
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