ANGELA MAZZELLA (NPI# 1669618823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669618823 |
| Entity Type | Individual |
| Full Name | ANGELA MAZZELLA |
| Credential | ARNP |
| Practice Address |
1309 S Federal Hwy Ft Lauderdale FL 33316-2040 |
| Practice Telephone | 9544634383 |
| Practice Fax Number | 9544638174 |
| Mailing Telephone | 9544634383 |
| Mailing Fax Number | 9544638174 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9169093 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1309 S FEDERAL HWY |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851404834 | Phillip S Valent | Internal Medicine | 1309 S Federal Hwy, Ft Lauderdale, FL 33316-2040 | 2006-08-16 |
| 1194748400 | Gerald L Kuykendall | Internal Medicine | 1309 S Federal Hwy, Ft Lauderdale, FL 33316-2040 | 2006-07-26 |
| 1578584801 | Frank T Finlon | Internal Medicine | 1309 S Federal Hwy, Ft Lauderdale, FL 33316-2040 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454162 | Tiffany Ann O'connor | Nurse Practitioner | 315 Sw 22nd St, Ft Lauderdale, FL 33315-2510 | 2020-07-08 |
| 1659785616 | Danielle Marie White | Nurse Practitioner | 4750 N Federal Hwy Ste 302, Ft Lauderdale, FL 33308-4609 | 2014-06-18 |
| 1962789677 | Susannah S Gleeson | Nurse Practitioner | 115 Ne 3rd Ave Apt 615, Ft Lauderdale, FL 33301-1302 | 2011-11-09 |
| 1598086977 | Ruth Esther Lazard-germain | Nurse Practitioner | 5430 Nw 33rd Ave Ste 106, Ft Lauderdale, FL 33309-6349 | 2010-06-19 |
| 1972785483 | Judith A Kuchta | Nurse Practitioner | 1700 S Federal Hwy, Ft Lauderdale, FL 33316-2947 | 2007-11-27 |
| 1710097506 | Reeve Duboff | Nurse Practitioner | 733 Breakers Ave, Ft Lauderdale, FL 33304-4116 | 2006-08-30 |
| 1821097460 | Kathleen M. Dailey | Nurse Practitioner | 1700 South Federal Highway, Cvs Minuteclinic, Ft Lauderdale, FL 33316 | 2005-07-15 |
| 1679115653 | Kelley Maple | Nurse Practitioner | 1130 Bayview Dr, Ft Lauderdale, FL 33304-2505 | 2019-10-11 |
| 1497212476 | Vannessa Marie Hernandez | Nurse Practitioner | 500 Se 17th St, Ft Lauderdale, FL 33316-2547 | 2019-02-26 |
| 1831613389 | Kathryn Bogue | Nurse Practitioner | 1700 S Federal Hwy, Ft Lauderdale, FL 33316 | 2017-07-26 |
| Find all providers in FT LAUDERDALE | ||||
| City | FT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on ANGELA MAZZELLA.
| 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.