Jamie Mazzurco, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS15319 Issued in FL

Practice address

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

Phone

(954) 473-1101

NPI assigned

May 26, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Childrens Medical Association PA

  • Pediatrics Physician
  • Plantation, FL
  • NPI 1942393749
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1699154476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16960",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331016960",
            "telephone_number": "305-585-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 W BROWARD BLVD STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242700",
            "telephone_number": "954-473-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZURCO",
        "first_name": "JAMIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS15319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24618300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nadia Mayas, MD
• Vaylu Maymon, LCSW
• Mayo Medical Supplies LLC
• Angie Mayorquin, ARNP
• Alexander Mazekina Taira
• Stacey McCaffrey, PH.D.
• Anthony McCalla, MD
• Jordan Christian McClaskey, MD
• Alicia Antonette McCray
• Aisha T McDonald, LMHC

• Pediatrics Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.