Individual
AMANDA MAZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 W MONROE ST STE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
Mailing address
915 W MONROE ST STE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115471
FL
Other
Enumeration date
12/09/2021
Last updated
02/14/2025
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