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

Larry Mazzarella, CNIM

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1578975736

Larry Mazzarella, CNIM is an Electroneurodiagnostic Specialist/Technologist in Ormond Beach, Florida. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

1452 N US Highway 1 Ste 103
Ormond Beach, FL 32174-6638
Phone: (386) 672-1250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1578975736
Entity typeIndividual (Type 1)
GenderMale
Credentials CNIM
Sole proprietorYes
NPI enumeratedMay 22, 2014
Last updated in NPPESMay 22, 2014
Mailing address1452 N Us Highway 1, Ste 103, Ormond Beach, FL 32174-6638

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