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MICHAEL MAZZONI PA-C
NPI 1295133197
Physician Assistant in Saint Johns, FL

Active since December 09, 2014
200 LEESE DR, SAINT JOHNS, FL 32259(210) 243-5456 Get Directions Write a Review

NPPES record last updated: December 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Mazzoni Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL MAZZONI PA-C (NPI 1295133197) is an individual physician assistant in Saint Johns, Florida, licensed in Texas (1123046) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1295133197
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL MAZZONICredential: PA-C
Location Address200 LEESE DRSaint Johns, FL 32259-6967
Mailing Address200 Leese DrSaint Johns, FL 32259-6967 · (210) 243-5456
Phone(210) 243-5456
Sole ProprietorYes
Enumeration DateDecember 9, 2014
✔ NPI 1295133197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · 1123046
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
200 LEESE DR, Saint Johns, FL 32259
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Mazzoni's NPI number?

The NPI number for Michael Mazzoni is 1295133197. It was assigned to this individual provider in the NPPES registry on December 9, 2014.

Where is Michael Mazzoni located?

Michael Mazzoni practices at 200 Leese Dr, Saint Johns, FL 32259. The listed phone number is (210) 243-5456.

What is Michael Mazzoni's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Michael Mazzoni was last updated on December 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.