Dr IVAN L MAZZORANA JR. MD is a male medical professional, specializing in Psychiatry. He graduated in 1986.
IVAN L MAZZORANA JR MD PA
12590 WHITEHALL DR
SUITE 3
FORT MYERS
FL
339074680
Tel: 2399399090
Npi | 1669480653 |
Pac Id | 9830091297 |
Professional Enrollment Id | I20070226000424 |
Last Name | MAZZORANA |
First Name | IVAN |
Middle Name | L |
Suffix | JR. |
Gender | M |
Credential | MD |
Medical School Name | OTHER |
Graduation Year | 1986 |
Primary Specialty | PSYCHIATRY |
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Organization Legal Name | IVAN L MAZZORANA JR MD PA |
Group Practice Pac Id | 5395647754 |
Number Of Group Practice Members | 12 |
Line 1 Street Address | 12590 WHITEHALL DR |
Line 2 Street Address | SUITE 3 |
Marker Of Address Line 2 Suppression | |
City | FORT MYERS |
State | FL |
Zip Code | 339074680 |
Phone Number | 2399399090 |
Hospital Affiliation Ccn 1 | 100244 |
Hospital Affiliation Lbn 1 | CAPE CORAL HOSPITAL - 100244 |
Hospital Affiliation Ccn 2 | 100107 |
Hospital Affiliation Lbn 2 | LEHIGH REGIONAL MEDICAL CENTER |
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Professional Accepts Medicare Assignment | Y |
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