Bruce R Maddern Md Pa in Jacksonville - Otolaryngology/facial Plastic Surgery
Bruce R Maddern Md Pa - NPI 1225001589
Bruce R Maddern Md Pa is a Otolaryngology/facial Plastic Surgery in Jacksonville, Florida. Bruce R Maddern Md Pa practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Bruce R Maddern Md Pa is 1225001589. The last update date is 2007-09-07.
Bruce R Maddern Md Pa's current location address is 10475 Centurion Pkwy N, Jacksonville, Florida. You can contact this provider via phone number 9043985437 and fax number 9043983077. The mailing address for Bruce R Maddern Md Pa is 10475 Centurion Pkwy N, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bruce R Maddern Md Pa |
|---|---|
| Address | 10475 Centurion Pkwy N, Jacksonville, Florida |
| Phone Number | 9043985437 |
| Fax Number | 9043983077 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Maddern R Bruce |
| Credentials | MD |
| Telephone Number | 9043985437 |
NPI Number Detail
| NPI Number | 1225001589 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 10475 Centurion Pkwy N |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322565003 |
| Phone Number | 9043985437 |
| Fax Number | 9043983077 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8651 | FL | AV MED | |
| 45553 | BC/BS OF FL |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bruce R Maddern Md Pa by the Centers for Medicare & Medicaid Services?
The Bruce R Maddern Md Pa has been assigned the NPI (National Provider Identifier) 1225001589 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Bruce R Maddern Md Pa is physically located?
The Bruce R Maddern Md Pa is situated at the following address: 10475 Centurion Pkwy N, Jacksonville, FL 322565003.
What is Bruce R Maddern Md Pa's area of expertise and its corresponding taxonomy classification?
The Bruce R Maddern Md Pa's field of specialization is Otolaryngology/facial Plastic Surgery, and it falls under the taxonomy code 207Yx0905X, which categorizes healthcare providers based on their areas of practice.
On what date did Bruce R Maddern Md Pa receive its 1225001589 assignment from the Centers for Medicare & Medicaid Services?
The Bruce R Maddern Md Pa was assigned its 1225001589 on 2006-02-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Bruce R Maddern Md Pa last refreshed?
The information related to the Bruce R Maddern Md Pa, including its address, specialty, and other relevant details, was last updated on 2007-09-07.
NPI Number: 1669475612
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
NPI Number: 1912900960
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL