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NPI Code Detail

MEDICARE: JOSEPH M MAZZIOTTA M.D.

MEDICARE: JOSEPH M MAZZIOTTA M.D.
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
1207Q00000XFamily Medicine PhysicianME65010FL

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 : 1952375974
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH M MAZZIOTTA M.D.
Provider Business Mailing Address
First Line : 1301 HODGES DR
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4614
Country : US
Telephone Number : 850-431-5714
Fax Number : 850-431-6403
Provider Business Practice Location Address
First Line : 1301 HODGES DR
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4614
Country : US
Telephone Number : 850-431-5714
Fax Number : 850-431-6403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 01/03/2017

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Directions to “ JOSEPH M MAZZIOTTA M.D.” Practice Location

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