Individual
DR. SEAN MAZLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 COMMERCIAL CT STE C, VENICE, FL 34292-1651
(941) 529-0070
(941) 529-0539
Mailing address
2389 E VENICE AVE UNIT 510, VENICE, FL 34292-2465
(941) 946-7570
(941) 240-9950
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME145595
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME145595
FL
207NS0135X
Procedural Dermatology Physician
ME145595
FL
Other
Enumeration date
04/06/2011
Last updated
11/03/2021
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