Olin Mauldin M.d., Llc

NPI 1104227628 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1104227628
Enumeration Date 09/16/2014
Last Updated 09/29/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name WENDY C WENDY
Position CREDENTIALING COORDINATOR
Phone (904) 332-7431
Fax (904) 332-7408
Practice Location
4217 BAYMEADOWS RD
SUITE 3
JACKSONVILLE FL, 32217-4676, US
Phone (904) 332-7431
Fax (904) 332-7408
Business Location
4217 BAYMEADOWS RD
SUITE 3
JACKSONVILLE FL, 32217-4676, US
Phone (904) 332-7431
Fax (904) 332-7408
Toxanomy
Taxonomy Code 2084P0800X
License State Florida
License Number ME54094
Remove 1104227628 NPI Number
 

According to our database, Olin Mauldin M.d., Llc NPI is 1104227628, taxonomy code is 2084P0800X and license number is ME54094, license state is located at Florida. Olin Mauldin M.d., Llc physically located at 4217 Baymeadows Rd, Jacksonville FL, 32217-4676. NPI Number 1033115704 has the healthcare provider type.

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1104227628 NPI number is provided on an as is basis without warranty of any kind. 1104227628 is maintained by the National Plan & Provider Enumeration System. The contents of Olin Mauldin M.d., Llc are for informational purposes only.