Mazzucco, Maria

Mazzucco, Maria is an individual health care provider with primary practice located at 200 Nw 7Th Ave , Fort Lauderdale FL 33311-9026. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mazzucco, Maria can be contacted via phone (954) 759-6710.

Contact Information

Primary practice address
200 Nw 7Th Ave Fort Lauderdale FL 33311-9026
Phone: (954) 759-6710
Fax: (954) 759-6767
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN15711 Florida

Profile Details

NPI number 1003941022
LBN Legal business name Mazzucco, Maria
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 27th, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003941022 NPPES
Florida MEDICAID 075557500
Florida Other 83355

Popular Providers