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Contact Information

SEAN MAZLOOM, MD
395 COMMERCIAL CT STE C
VENICE, FL34292-1651
 Phone: 941-529-0070
 Fax: 941-529-0539
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for SEAN MAZLOOM · (Male)

NPI Number 1518256932
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2011
Last updated 11/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME145595
Hospital affiliation(s)
  • SARASOTA MEMORIAL HOSPITAL - (Acute Care)
    1700 S TAMIAMI TRL
    SARASOTA, FL 34239
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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