Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 68466 | GA |
Y | 207P00000X | Emergency Physician | ME115191 | FL |
N | 207P00000X | Emergency Physician | TRN14665 | FL |
NPI | 1003133836 |
---|---|
Provider Name | Jennifer L. Mauzy |
First Address | Jacksonville, FL 32216-1431 |
Second Address | Jacksonville, FL 32216-1431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2010 |
Last Update Date | 18/06/2015 |