Individual
THOMAS JOSEPH MEZZANOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
819 E OAK ST STE A, KISSIMMEE, FL 34744-5842
(407) 476-0780
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3171
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
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
04/09/2026
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