Amanda Mazzella
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Amanda Mazzella
NPI Number
1093474835
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/09/2021
Specialties
(Taxonomies)Code
363A00000X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
PA9115471
Contact
Information
Purpose
Mailing
Location
Address
915 W MONROE ST STE 200
915 W MONROE ST STE 200
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32204-1177
32204-1177
Country
US
US
Telephone Number
(904) 384-2240
(904) 384-2240
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/10/2022
Provider Address
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