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Bruce R Maddern Md Pa
Otolaryngology/Facial Plastic Surgery Physician in Jacksonville, Florida
NPI 1225001589

Bruce R Maddern Md Pa is a Otolaryngology/Facial Plastic Surgery Physician based in Jacksonville, FL and is specialized in Otolaryngology/Facial Plastic Surgery. Bruce R Maddern Md Pa practices in Jacksonville, FL. The NPI Number for Bruce R Maddern Md Pa is 1225001589 and holds a License No. (Florida).

The current practice location address for Bruce R Maddern Md Pa is 10475 Centurion Pkwy N, Jacksonville, FL and can be reached out via phone at 904-398-5437 and via fax at 904-398-3077.

Location: 10475 Centurion Pkwy N, Jacksonville, FL, 32256-5003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225001589
Provider Name
Bruce R Maddern Md Pa
Credential
Provider Entity Type
Organization
Address
10475 Centurion Pkwy N, Jacksonville, FL, 32256-5003
Phone Number
904-398-5437
Fax Number
904-398-3077
Provider Enumeration Date
02/08/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8651 01 FL AV MED
45553 01 BC/BS OF FL
institution
Provider Business Practice Location Address Details
Address
10475 Centurion Pkwy N
City
Jacksonville
State
Florida
Zip
32256-5003
Phone Number
904-398-5437
Fax Number
904-398-3077
person
Provider Business Mailing Address Details
Address
10475 Centurion Pkwy N
City
Jacksonville
State
Florida
Zip
32256-5003
Phone Number
904-398-5437
Fax Number
904-398-3077
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Pediatric Otolaryngology
Taxonomy
207YP0228X
License No.
()
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
()
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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