Mazur, John M.

Mazur, John M. is an individual health care provider with primary practice located at 3901 University Blvd S Ste 103 , Jacksonville FL 32216-4374. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Mazur, John M. can be contacted via phone (904) 345-7373.

Contact Information

Primary practice address
3901 University Blvd S Ste 103 Jacksonville FL 32216-4374
Phone: (904) 345-7373
Fax: (904) 345-7372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME55536 Florida
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X ME55536 Florida

Profile Details

NPI number 1225049752
LBN Legal business name Mazur, John M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 12th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225049752 NPPES
Georgia MEDICAID 000446619A
Georgia MEDICAID 61888800

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