person
Miguel Angel Mazariegos, MD
General Practice Physician in Brandon, Florida
NPI 1255325361

Miguel Angel Mazariegos is a General Practice Physician based in Brandon, FL. Miguel Angel Mazariegos practices in Brandon, FL and has the professional credentials of MD. The NPI Number for Miguel Angel Mazariegos is 1255325361 and holds a License No. ME0069553 (Florida).

The current practice location address for Miguel Angel Mazariegos is 1150 Bell Shoals Rd, Brandon, FL and can be reached out via phone at 813-681-6064 and via fax at 813-653-4132. You can also correspond with Miguel Angel Mazariegos through the mailing address at 1150 BELL SHOALS RD, BRANDON, FL - 33511-9001 (mailing address contact number: 813-681-6064).

Location: 1150 Bell Shoals Rd, Brandon, FL, 33511-9001
person
Provider Profile Details
NPI Number
1255325361
Provider Name
Miguel Angel Mazariegos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1150 Bell Shoals Rd, Brandon, FL, 33511-9001
Phone Number
813-681-6064
Fax Number
813-653-4132
Provider Enumeration Date
09/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
378959400 05 FL
institution
Provider Business Practice Location Address Details
Address
1150 Bell Shoals Rd
City
State
Zip
33511-9001
Phone Number
813-681-6064
Fax Number
813-653-4132
person
Provider Business Mailing Address Details
Address
1150 Bell Shoals Rd
City
State
Zip
33511-9001
Phone Number
813-681-6064
Fax Number
813-653-4132
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME0069553 (Florida)
Definition
Definition to come...
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