Individual
DR. MAZVITA ETHEL SIMOYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 S 11TH ST, LAKE WALES, FL 33853-4239
(844) 634-3627
(863) 676-3621
Mailing address
425 S 11TH ST, LAKE WALES, FL 33853-4239
(844) 634-3627
(863) 676-3621
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME140906
FL
Other
Enumeration date
03/25/2014
Last updated
09/29/2021
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