Individual
DR. RYAN GENIS MAZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1329 SW 16TH ST, ROOM 4270, GAINESVILLE, FL 32608-1128
(352) 265-5911
Mailing address
34 MINOR RD, BREWSTER, NY 10509-4203
(914) 772-2495
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
TRN16040
FL
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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