# DR. LOUIS MAZZELLA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508029323
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 049824 | CT | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | ME110316 | FL | — |
| 208D00000X | General Practice Physician | ME110316 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 07/02/2008
- **Last updated:** 12/02/2022
