Michael Mazucci-Mambala, L.C.S.W

NPI 1013556158 · on the registry since 2020 · sole proprietor

Practice

Address: 510 Vonderburg Dr
Suite 301
Brandon, FL 33511
Phone: (813) 881-1000
Organisation at this address: Naywy, Llc
Live Purposely Llc
Neuspine Institute Llc
Morgan Star Home Care Llc
Cristina Balsera M.D. P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 30

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida