Mazziotta, Joseph M

Mazziotta, Joseph M is an individual health care provider with primary practice located at 1301 Hodges Dr , Tallahassee FL 32308-4614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mazziotta, Joseph M can be contacted via phone (850) 431-5714.

Contact Information

Primary practice address
1301 Hodges Dr Tallahassee FL 32308-4614
Fax: (850) 431-6403
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME65010 Florida

Profile Details

NPI number 1952375974
LBN Legal business name Mazziotta, Joseph M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jan 3rd, 2017 - about 7 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 1952375974 NPPES
Florida MEDICAID 256730000

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