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

TaxonomyCodeLicense
Surgical Assistant 246ZC0007XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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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.