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

Jake Mazza

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679269849

Jake Mazza is a Student in an Organized Health Care Education/Training Program in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

206 2nd St E
Bradenton, FL 34208-1042
Phone: (941) 746-5111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (FL)

Record details

NPI number1679269849
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2023
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023
Mailing address206 2nd St E, Bradenton, FL 34208-1042

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