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IVAN L MAZZORANA JR MD PA
NPI 1790877488
Psychiatry & Neurology - Psychiatry in Ft Myers, FL

Active since September 29, 2006
12590 WHITEHALL DR, SUITE 3, FT MYERS, FL 33907(239) 939-9090(239) 939-2922 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivan L Mazzorana Jr Md Pa NPPES

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

IVAN L MAZZORANA JR MD PA (NPI 1790877488) is a healthcare organization registered as a psychiatry in Ft Myers, Florida and active in the NPI registry since September 2006. The organization lists Ivan L Mazzorana, President, as its authorized official.

NPPES Registry Identity

NPI1790877488
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameIVAN L MAZZORANA JR MD PA
Location Address12590 WHITEHALL DR, SUITE 3Ft Myers, FL 33907-3620
Mailing Address12590 Whitehall Dr, Suite 3Ft Myers, FL 33907-3620 · (239) 939-9090 · Fax (239) 939-2922
Phone(239) 939-9090
Fax(239) 939-2922
Organization SubpartNo
Authorized OfficialIvan L MazzoranaPresident · (239) 939-9090
Enumeration DateSeptember 29, 2006
Last NPPES UpdateNovember 15, 2012
✔ NPI 1790877488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
12590 WHITEHALL DR, Ft Myers, FL 33907
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Other Identifiers 3

Other990014183Medicare R.r.
Other3189574Ghi
Medicare PINK4741FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PEGGY ANN JACKSON L.C.S.W.
Social Worker (Clinical)
12590 WHITEHALL DR
FORT MYERS, FL 33907
Lee County (239) 939-9090
MS. JAMIE HELENE GOLDMAN LCSW
Social Worker (Clinical)
12590 WHITEHALL DR, SUITE 3
FORT MYERS, FL 33907
Lee County (239) 939-9090
ANGELA DAWN MONTEROSSO APRN, EDD.
Nurse Practitioner (Psychiatric/Mental Health)
12590 WHITEHALL DR
FORT MYERS, FL 33907
Lee County (239) 939-9090
DNA COMPREHENSIVE THERAPY SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
12590 WHITEHALL DR
FORT MYERS, FL 33907
Lee County (239) 939-9090
CAROL ANN ROBINSON LCMHC
Counselor (Mental Health)
12590 WHITEHALL DR, SUITE 3
FORT MYERS, FL 33907
Lee County (239) 939-9090

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 Ivan L Mazzorana Jr MD PA's NPI number?

The NPI number for Ivan L Mazzorana Jr MD PA is 1790877488. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Ivan L Mazzorana Jr MD PA located?

Ivan L Mazzorana Jr MD PA is located at 12590 Whitehall Dr Suite 3, Ft Myers, FL 33907. The listed phone number is (239) 939-9090.

What is Ivan L Mazzorana Jr MD PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

What insurance does Ivan L Mazzorana Jr MD PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ivan L Mazzorana Jr MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivan L Mazzorana Jr MD PA was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.