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Dr. Bruce Robert Maddern, MD
Otolaryngology/Facial Plastic Surgery Physician in Jacksonville, Florida
NPI 1528030418

Bruce Robert Maddern is a Otolaryngology/Facial Plastic Surgery Physician based in St Petersburg, FL and is specialized in Otolaryngology/Facial Plastic Surgery. Bruce Robert Maddern practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Bruce Robert Maddern is 1528030418 and holds a License No. ME0056292 (Florida).

The current practice location address for Bruce Robert Maddern 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, 33701-1547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528030418
Provider Name
Bruce Robert Maddern
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10475 Centurion Pkwy N, Jacksonville, FL, 33701-1547
Phone Number
904-398-5437
Fax Number
904-398-3077
Provider Enumeration Date
02/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0205114006 01 FL CIGNA
2218700 01 FL AETNA
061886100 05 FL
P2759499 01 FL OXFORD
08675 01 FL BCBS
12056336 01 FL MULTIPLAN
203211 01 FL AV MED
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.
ME0056292 (Florida)
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.
ME0056292 (Florida)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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