Mazzarella, Larry

Mazzarella, Larry is an sole proprietor health care provider with primary practice located at 1452 N Us Highway 1 Ste 103, Ormond Beach FL 32174-6638. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Mazzarella, Larry can be contacted via phone (386) 672-1250.

Contact Information

Primary practice address
1452 N Us Highway 1 Ste 103 Ormond Beach FL 32174-6638
Phone: (386) 672-1250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1578975736
LBN Legal business name Mazzarella, Larry
Credentials CNIM
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2014
Last updated May 22nd, 2014 - 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.

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