Mazer, David Keith
Mazer, David Keith is an sole proprietor health care provider with primary practice located at 1414 Kuhl Ave , Orlando FL 32806-2008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Mazer, David Keith can be contacted via phone (407) 805-9503.Contact Information
Primary practice address
1414 Kuhl Ave
Orlando FL 32806-2008
Phone: (407) 805-9503
Fax: (321) 396-7711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME74014 | Florida |
Profile Details
| NPI number | 1033195870 |
|---|---|
| LBN Legal business name | Mazer, David Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Nov 15th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033195870 | NPPES |
| Florida | MEDICAID | 2578638 |
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