Individual
MR. JASON S MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OA-C, CSA, SA-C, OTC
Contact information
Practice address
1745 CITRON CT, TRINITY, FL 34655-4902
(727) 372-3918
Mailing address
10402 TECOMA DR, TRINITY, FL 34655-5049
(727) 372-3918
(727) 372-3918
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/21/2005
Last updated
09/04/2015
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