Mazzo, Dianne Lynne

Mazzo, Dianne Lynne is an sole proprietor health care provider with primary practice located at 301 Memorial Medical Pkwy , Daytona Beach FL 32117-5167. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mazzo, Dianne Lynne can be contacted via phone (386) 264-1130.

Contact Information

Primary practice address
301 Memorial Medical Pkwy Daytona Beach FL 32117-5167
Phone: (386) 264-1130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9284326 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95025681 California

Profile Details

NPI number 1417197633
LBN Legal business name Mazzo, Dianne Lynne
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2009
Last updated Jan 23rd, 2024 - about 11 months 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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