Individual
WALTER MAZEIKO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAS
Contact information
Practice address
2221C TAMIAMI TRL, SUITE #C, PORT CHARLOTTE, FL 33948-2104
(941) 625-3366
Mailing address
2221C TAMIAMI TRL, UNIT 5-260, PORT CHARLOTTE, FL 33948-2104
(941) 625-3366
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS 4984
FL
Other
Enumeration date
01/02/2014
Last updated
02/27/2014
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