Provider Demographics
NPI:1518057264
Name:DAMAYO, MIZYL FRANCES (MD)
Entity Type:Individual
Prefix:DR
First Name:MIZYL
Middle Name:FRANCES
Last Name:DAMAYO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MIZYL
Other - Middle Name:FRANCES
Other - Last Name:STINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:25097 OLYMPIA AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-3914
Mailing Address - Country:US
Mailing Address - Phone:941-347-8341
Mailing Address - Fax:941-347-7702
Practice Address - Street 1:25097 OLYMPIA AVE STE 201
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-3914
Practice Address - Country:US
Practice Address - Phone:941-347-8341
Practice Address - Fax:941-347-7702
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1141112084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100402900Medicaid
FL100402900Medicaid
KY7100001910Medicaid
KY7100001910Medicaid