Individual
FRANK MAZZEO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2232 GRAND AVE, FORT MYERS, FL 33901-3717
(239) 344-2344
(239) 332-3372
Mailing address
PO BOX 919771, ORLANDO, FL 32891-9771
(239) 278-3600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN6062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071294900
—
FL
Enumeration date
10/04/2006
Last updated
09/29/2020
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