Mazo-Mayorquin, Josse Anthony
Mazo-Mayorquin, Josse Anthony is an individual health care provider with primary practice located at 1341 Medical Park Dr Suite 101 A, Melbourne FL 32901-3235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mazo-Mayorquin, Josse Anthony can be contacted via phone (321) 733-2711.Contact Information
Primary practice address
1341 Medical Park Dr Suite 101 A
Melbourne FL 32901-3235
Phone: (321) 733-2711
Fax: (321) 733-2011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME89659 | Florida |
Profile Details
| NPI number | 1447256284 |
|---|---|
| LBN Legal business name | Mazo-Mayorquin, Josse Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Feb 11th, 2015 - about 10 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 | 1447256284 | NPPES |
| Florida | MEDICAID | 274625500 |
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