Individual
MR. MICHAEL ANTHONY MAZZIOTTA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1880 37TH STREET SUITE 4, VERO BEACH, FL 32960
(772) 569-0081
(772) 569-0819
Mailing address
PO BOX 99, VERO BEACH, FL 32961
(772) 569-0081
(772) 569-0819
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3489
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
SC005981
PA
Other
Enumeration date
11/03/2008
Last updated
07/31/2019
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