Individual
PAUL M MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.N.P.
Contact information
Practice address
1051 W US ROUTE 6, SUITE 100, MORRIS, IL 60450-4200
(815) 942-4875
(815) 942-5046
Mailing address
5355 RED BUG LAKE RD, SUITE 100, WINTER SPRINGS, FL 32708-4909
(321) 304-3300
(321) 304-3287
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041420668
IL
363L00000X
Nurse Practitioner
209011601
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9247331
FL
Other
Enumeration date
12/14/2012
Last updated
07/07/2016
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