Look up the most recent NPI and PECOS records

Jamie Mazzurco

Pediatrics

Allopathic & Osteopathic Physicians

8430 W Broward Blvd Ste 300, Plantation, FL 33324-2700

PECOS Enrollment

Based on the most recent information from CMS, provider Jamie Mazzurco does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 15 days ago.

Profile Details

Provider ID
1699154476
Provider Type
Individual
Full Name
Mazzurco, Jamie
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
5/26/2015
Last Updated
2/8/2019

Contact Information

Practice Location

8430 W Broward Blvd Ste 300, Plantation, FL 33324-2700

(954) 473-1101

Unlisted Fax

Mailing Location

PO Box 16960, Department Of Pediatrics, Miami, FL 33101-6960

(305) 585-6042

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License OS15319 Florida

Provider Identifiers

ID	Description	Issuer
ID 24618300	Description Medicaid	Issuer Unlisted Florida

Jamie Mazzurco

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Slonaker, Chester M

Ward, Andre Nadim

Pediatric Associates Of Tampa Bay, Llc

Pearson, Laurence Drew

Valdes, Yolanda Maria

Santos, Teresa D

El Ghissassi, Mostafa

Rotlewicz, Mark

Keane, Michelle Ann

Andersen, Krista