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Jake Mazza
Student in an Organized Health Care Education/Training Program in Bradenton, Florida
NPI 1679269849

Jake Mazza is a Student in an Organized Health Care Education/Training Program based in Bradenton, FL. Jake Mazza practices in Bradenton, FL. The NPI Number for Jake Mazza is 1679269849 and holds a License No. (Florida).

The current practice location address for Jake Mazza is 206 2Nd St E, Bradenton, FL and can be reached out via phone at 941-746-5111.

Location: 206 2Nd St E, Bradenton, FL, 34208-1042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679269849
Provider Name
Jake Mazza
Credential
Provider Entity Type
Individual
Gender
Male
Address
206 2Nd St E, Bradenton, FL, 34208-1042
Phone Number
941-746-5111
Fax Number
Provider Enumeration Date
04/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
206 2Nd St E
City
Bradenton
State
Florida
Zip
34208-1042
Phone Number
941-746-5111
Fax Number
person
Provider Business Mailing Address Details
Address
206 2Nd St E
City
Bradenton
State
Florida
Zip
34208-1042
Phone Number
941-746-5111
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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