Individual
DR. JOHN M. MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 UNIVERSITY BLVD S STE 103, JACKSONVILLE, FL 32216-4374
(904) 345-7373
(904) 345-7372
Mailing address
3901 UNIVERSITY BLVD S STE 103, JACKSONVILLE, FL 32216-4374
(049) 345-7373
(904) 345-7372
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME55536
FL
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
ME55536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000446619A
—
GA
05
—
61888800
—
FL
Enumeration date
08/10/2006
Last updated
08/12/2020
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