| Ida Mazzone Md Pa | |
|
6101 Pine Ridge Rd Naples FL 34119-3900 | |
| (239) 348-4400 | |
| (239) 236-1300 |
| Full Name | Ida Mazzone Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6101 Pine Ridge Rd, Naples, Florida |
| Authorized Official Name and Position | Ida Mazzone (PRESIDENT) |
| Authorized Official Contact | 2394659722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ida Mazzone Md Pa 2338 Immokalee Rd #149 Naples FL 34110-1445 Ph: (239) 465-9722 | Ida Mazzone Md Pa 6101 Pine Ridge Rd Naples FL 34119-3900 Ph: (239) 348-4400 |
| NPI Number | 1205075900 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/24/2009 |
| Medicare PECOS PAC ID | 6709943319 |
|---|---|
| Medicare Enrollment ID | O20090326000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205075900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME74663 (Florida) | Primary |
| Provider Name | Ida M Mazzone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043267644 PECOS PAC ID: 6608945589 Enrollment ID: I20080519000254 |
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