Provider Demographics
NPI:1215320346
Name:MAZZO, RHONDA
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:MAZZO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7930 CITRUS GARDEN DR
Mailing Address - Street 2:APT. 203
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-2457
Mailing Address - Country:US
Mailing Address - Phone:813-362-8114
Mailing Address - Fax:
Practice Address - Street 1:7930 CITRUS GARDEN DR
Practice Address - Street 2:APT. 203
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-2457
Practice Address - Country:US
Practice Address - Phone:813-362-8114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist