Individual
JAMIE MAZZURCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8430 W BROWARD BLVD STE 300, PLANTATION, FL 33324-2700
(954) 473-1101
Mailing address
PO BOX 16960, DEPARTMENT OF PEDIATRICS, MIAMI, FL 33101-6960
(305) 585-6042
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS15319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24618300
—
FL
Enumeration date
05/26/2015
Last updated
02/08/2019
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