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General NPI Number Information
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NPI Number | 1043296189
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Entity Type | Organization
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Legal Business Name | DAVID MAZER,M.D.,P.A.
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 1414 KUHL AVE
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City | ORLANDO
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State | FL
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Zip | 32806-2008
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Country | US
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Telephone | 407-805-9503
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Fax | 321-396-7711
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Provider Business Mailing Address
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Address Line | PO BOX 950699
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City | LAKE MARY
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State | FL
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Zip | 32795-0699
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Country | US
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Telephone | 407-805-9503
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Fax | 321-396-7711
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DR. DAVID K MAZER
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Credential | M.D.
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Telephone | 407-805-9503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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