Individual
THOMAS JOSEPH MEZZANOTTE
Active
Individual
THOMAS JOSEPH MEZZANOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
53480
AL
207XX0801X
Orthopaedic Trauma Physician
Primary
ME99006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000245847
UNISON
SC
01
—
013
TRICARE
SC
01
—
055
BCBS
SC
05
—
122786700
—
FL
01
—
1774374
CIGNA
SC
01
—
20078496
SELECT HEALTH
SC
01
—
210718
MEDCOST
SC
05
—
311898
—
SC
05
—
5909955
—
NC
01
—
9975193
AETNA
SC
01
—
AA29228552
MEDICARE PTAN
SC
Enumeration date
02/21/2006
Last updated
07/08/2026
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