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Ivan L Mazzorana Jr MD PA

Psychiatry Physician in Ft Myers, FL · enumerated 2006 · authorized official Ivan Mazzorana, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790877488

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Registry record

Entity type Organization (Type 2)
Legal business name Ivan L Mazzorana Jr MD PA
Practice address 12590 Whitehall Dr, Suite 3, Ft Myers, FL, 33907
Phone (239) 939-9090
Fax (239) 939-2922
Enumeration date Sep 29, 2006
Last updated in NPPES Nov 15, 2012

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Ivan Mazzorana
Title President
Phone (239) 939-9090

Other identifiers

Identifier Type State Issuer
3189574 Other - GHI
990014183 Other - MEDICARE R.R.

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Ivan L Mazzorana Jr MD PA located?
The practice location on file with NPPES is in Ft Myers, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-11-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-11-15.