MR. OSVALDO DANTE MAZZIERI (NPI# 1295220119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295220119 |
| Entity Type | Individual |
| Full Name | MR. OSVALDO DANTE MAZZIERI |
| Credential | CEO |
| Practice Address |
1421 Se 4th Ave Ste B Fort Lauderdale FL 33316-1900 |
| Practice Telephone | 9543957444 |
| Mailing Telephone | 9543957444 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MH6803 | FL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
MH6803 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1421 SE 4TH AVE STE B |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727433 | Brain and Beyond LLC | Counselor | 4101 N Andrews Ave Ste 306, Fort Lauderdale, FL 33309-4776 | 2020-07-21 |
| 1538708722 | Madelaine Canas | Counselor | 3601 W Commercial Blvd Ste 2, Fort Lauderdale, FL 33309-3320 | 2020-01-06 |
| 1043876378 | R. David Jones | Counselor | 2020 E Oakland Park Blvd Ste B, Fort Lauderdale, FL 33306-1106 | 2019-05-13 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1114436474 | Drusilla Fowler | Counselor | 1011 Sw 2nd Ct, Fort Lauderdale, FL 33312-7135 | 2017-09-29 |
| 1013444900 | Shenika Thomas | Counselor | 900 Nw 31st Ave Ste 2000, Fort Lauderdale, FL 33311-6653 | 2017-05-22 |
| 1184033276 | Yerelin Checo | Counselor | 1919 Se 10th Ave Apt 5113, Fort Lauderdale, FL 33316-3178 | 2014-08-04 |
| 1861817199 | Paul Sohr | Counselor | 1800 Se 3rd Ave, Fort Lauderdale, FL 33316-2877 | 2014-02-24 |
| 1225460280 | The Core Centers, LLC | Counselor | 2500 N Federal Hwy Ste 103, Fort Lauderdale, FL 33305-1618 | 2013-08-01 |
| 1598109209 | Stefanie Jorenby | Counselor | 325 Sw 28th St, Fort Lauderdale, FL 33315-2612 | 2013-04-24 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on MR. OSVALDO DANTE MAZZIERI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.