Individual provider · Type 1 NPI
Louis Mazzella, MD
General Practice Physician · St. Petersburg, FL
NPI number
1508029323
Active
Practice location
246 49th Ave N
St. Petersburg, FL 33703-3926
Fax (727) 205-4918
Mailing address
7 Deepwood Ln, Cottage
Westport, CT 06880-1317
Other practice locations
- 7 Deepwood Ln, Cottage, Westport, CT 06880-1317 · (404) 805-2290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 049824 (CT) |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | ME110316 (FL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician Primary | 208D00000X | ME110316 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1508029323
Louis Mazzella, MD's National Provider Identifier is 1508029323, issued on Jul 2, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Dec 2, 2022.