Individual
JAMES G MAZALEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8745 N WICKHAM RD, VIERA HOSPITAL/RADIOLOGY DEPT, MELBOURNE, FL 32940-5997
(321) 434-7313
(321) 434-7238
Mailing address
PO BOX 2400, MELBOURNE, FL 32902-2400
(321) 434-4600
(321) 259-0635
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
62313
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME62313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265388500
—
FL
01
—
E8353S
FL HFMG MEDICARE
FL
01
—
P00377061
RAILROAD MEDICARE
FL
01
—
P01388477
FL HFMG RR MEDICARE
FL
Enumeration date
08/31/2006
Last updated
03/12/2020
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