Whalio Doctors

NPI 1184460677

Nicholas Mazzuca, RRA

Practitioner Radiology Practitioner Assistant Hollywood, FL

Practice location

Address
3501 Johnson St, Hollywood, FL 33021-5421
Phone
(954) 987-2000
Mailing address
5769 SW 42nd Ter, Miami, FL 33155-5313

Registered specialties (2)

Radiology Practitioner Assistant Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence RA165 (FL)
Vascular-Interventional Technology Radiologic Technologist
Technologists, Technicians & Other Technical Service Providers Taxonomy 2471V0106X Licence CRT39545 (FL)

Registry record

NPI
1184460677
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Jul 2024
Record last updated
3 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.