Organization
JOSEPH F MAZZA JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSPEH F MAZZA JR. MD (PRESIDENT)
(239) 482-7676
Entity
Organization
Contact information
Practice address
12640 CREEKSIDE LN, FORT MYERS, FL 33919-3359
(239) 482-7676
(239) 482-7604
Mailing address
12640 CREEKSIDE LN, FORT MYERS, FL 33919-3359
(239) 482-7676
(239) 482-7604
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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