Individual
DR. LOUIS MAZZELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
246 49TH AVE N, SAINT PETERSBURG, FL 33703-3926
(904) 518-7127
(727) 205-4918
Mailing address
7 DEEPWOOD LN, COTTAGE, WESTPORT, CT 06880-1317
(404) 805-2290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
049824
CT
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
ME110316
FL
208D00000X
General Practice Physician
Primary
ME110316
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2008
Last updated
12/02/2022
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