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NPI Code Detail

MEDICARE: LUCIA MAZZA AA

MEDICARE: LUCIA MAZZA AA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367H00000XAnesthesiologist AssistantAA292FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083082291
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCIA MAZZA AA
Provider Business Mailing Address
First Line : 713 SE 6TH CT
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33301-3113
Country : US
Telephone Number : 813-389-4373
Fax Number :
Provider Business Practice Location Address
First Line : 3501 JOHNSON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5421
Country : US
Telephone Number : 954-987-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2015
Last Update Date : 01/21/2026

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Directions to “ LUCIA MAZZA AA” Practice Location

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