Joseph F Mazza Jr.


Address: 12640 Creekside Ln, Fort Myers, FL 33919-3359

Joseph F Mazza Jr. (NPI# 1639148281, PAC ID# 0244204295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1639148281
PAC ID by PECOS 0244204295
Professional Enrollment ID I20090407000598
Full Name Joseph F Mazza Jr.
Address 12640 Creekside Ln
Fort Myers
FL 33919-3359
Gender M
Medical School STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year 1982
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100012 LEE MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
12640 Creekside Ln, Fort Myers, FL 33919-3359

Organization Information

Office Location

Street Address 12640 CREEKSIDE LN
City FORT MYERS
State FL
Zip 33919-3359

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Competitor

Search similar physicians

City FORT MYERS
Zip Code 33919
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty FORT MYERS + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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