Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan L Mazzorana Jr., MD

Individual provider Psychiatry Physician · NPI 1669480653

Ivan L Mazzorana Jr., MD is a Psychiatry in Fort Myers, Florida. Qualified in 1986, 40 years ago. Practices with Dna Comprehensive Therapy Services LLC, a 437-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
40
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12590 Whitehall Dr Ste 3
Fort Myers, FL 33907-4680
Phone: (239) 939-9090
Fax: (239) 939-2922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME00623151 (FL)

Record details

NPI number1669480653
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Dna Comprehensive Therapy Services Llc — 437 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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