MR. JOHN WILLIAM MAZZOCHI


Address: 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543
Phone: 8636871321

MR. JOHN WILLIAM MAZZOCHI (NPI# 1457914178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457914178
Entity Type Individual
Full Name MR. JOHN WILLIAM MAZZOCHI
Credential PA-C
Practice Address 1324 Lakeland Hills Blvd
Lakeland
FL 33805-4543
Practice Telephone 8636871321
Practice Fax Number 8632841730
Enumeration Date 2019-04-18
Last Update Date 2019-10-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 7420 AZ Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9112389 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
130 Pablo St, Lakeland, FL 338033818 8632845000 8632845912
3525 Lakeland Hills Blvd, Lakeland, FL 338051965 8632845020 8632845912

Office Location

Street Address 1324 LAKELAND HILLS BLVD
City LAKELAND
State FL
Zip Code 33805-4543

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760489900 James Francis Murray II Obstetrics & Gynecology 1324 Lakeland Hills Blvd, Pavilion, Lakeland, FL 33508 2005-07-01
1144821059 Jennifer Mclaughlin Nurse Practitioner 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2020-11-06
1861092595 Hortense Marcia Watson Registered Nurse 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2020-10-30
1073129953 Lilia Yakubov Nurse Practitioner 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2020-09-16
1093340374 Rashika Battle Nurse Practitioner 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2020-03-07
1871128363 Maria Lana Barnes Registered Nurse 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2020-03-05
1710519129 Joshua Parker Thompson Nurse Practitioner 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2020-02-04
1932741683 Katie Elizabeth Deines Registered Nurse 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2019-10-15
1700428968 Jasmine Nazirbage Nurse Practitioner 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2019-10-09
1578104824 Kristopher Dillon Wilson Physician Assistant 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2019-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477188704 Ernie Tairon Lugo Nursing Home Administrator 5210 State Road N 33, Lot 8, Lakeland, FL 33805 2020-03-06
1912546631 Francis Esperanzate Physical Therapist 5070 Menlo Parke Way, Lakeland, FL 33805 2019-12-27
1689232514 Anointed Touch Home Health 617 S Robson Street, Lakeland, FL 33805 2019-06-05
1083160642 Cherlande Pierre Chiropractor 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 2016-09-01
1992251706 Damaris Salmeron Physical Therapy Assistant 3127 Us Hwy 98 N, Lakeland, FL 33805 2016-08-31
1831589076 Sarah Mcneill Pharmacist 3124 Lakeland Hills Blvd, Lakeland, FL 33805 2015-01-26
1750706479 Alison M Busby Counselor Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 2014-03-04
1174872907 William Vargas, M.d. P. A. Anesthesiology 202 Parkview Place, Lakeland, FL 33805 2012-09-07
1184998056 Eduardo Francisco Lopez Garcia Internal Medicine 135 E First Street, Lakeland, FL 33805 2012-02-24
1255625513 Navdeep Singh Jassal Physical Medicine & Rehabilitation 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 2011-06-04
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760758643 Sunshine Assistant LLC Physician Assistant 6308 Prominence Point Drive, Lakeland, FL 33813-4491 2012-03-26
1134779812 Mallory Bastian Physician Assistant 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 2019-09-16
1992354948 Joseph Carmine Randazzo Jr. Physician Assistant 1324 Lakeland Hills Blvd, Attn: Managed Care Depot, Lakeland, FL 33805-4543 2019-09-11
1659740835 Laura Zambetti Physician Assistant 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2015-09-17
1528480480 Jessica Lyons Physician Assistant 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 2014-01-13
1447502828 Weslyn A Leffler Physician Assistant 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2012-10-09
1689940934 Kyle Merritt Physician Assistant 1818 Harden Blvd, Suite 120, Lakeland, FL 33803-1812 2012-03-30
1689945693 Seth D Gardner Physician Assistant 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2012-01-23
1528357183 Megan E Fincham Physician Assistant 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2011-04-05
1750538294 Janet Faith Mccabe Physician Assistant 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2008-08-27
Find all providers in LAKELAND

Competitor

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City LAKELAND
Zip Code 33805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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