Individual provider · Type 1 NPI
Jason S. Mazza, OA-C, CSA, SA-C, OTC
Surgical Physician Assistant · Trinity, FL
NPI number
1669458519
Active
Practice location
1745 Citron Ct
Trinity, FL 34655-4902
Mailing address
10402 Tecoma Dr
Trinity, FL 34655-5049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Assistant | 246ZC0007X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Trinity
- Gary F. Pastizzo, PASurgical Physician Assistant Trinity, FL NPI 1073506614
- Christopher J. Wittmann, PACSurgical Physician Assistant Trinity, FL NPI 1437199486
- Emily McManusSurgical Physician Assistant Trinity, FL NPI 1699658815
- Judith Ann Koster, PA-CSurgical Physician Assistant Trinity, FL NPI 1972567329
About NPI 1669458519
Jason S. Mazza, OA-C, CSA, SA-C, OTC's National Provider Identifier is 1669458519, issued on Dec 21, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Trinity, FL. The record was last updated on Sep 4, 2015.