IVAN L MAZZORANA JR. MD

IVAN L MAZZORANA JR MD PA

Dr IVAN L MAZZORANA JR. MD is a male medical professional, specializing in Psychiatry. He graduated in 1986.

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IVAN L MAZZORANA JR MD PA

12590 WHITEHALL DR
SUITE 3
FORT MYERS
FL
339074680

Tel: 2399399090

IVAN L MAZZORANA JR. MD Information

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
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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