Individual
JOHN LOUIS MAZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 BELFORT RD, JACKSONVILLE, FL 32216-1431
(904) 296-3886
(904) 551-0709
Mailing address
PO BOX 161180, ALTAMONTE SPRINGS, FL 32716-1180
(904) 388-6949
(904) 388-1841
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME89003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270834500
—
FL
Enumeration date
05/26/2006
Last updated
08/14/2023
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