BRUCE R MADDERN MD PA NPI 1225001589

NPI Information

BRUCE R MADDERN MD PA is a pediatric otolaryngology otolaryngology in Jacksonville, FL. The provider is 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. BRUCE R MADDERN MD PA NPI is 1225001589. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10475 CENTURION PKWY N
SUITE 302
JACKSONVILLE, FL
ZIP 32256-003
Phone: (904) 398-5437
Fax: (904) 398-3077

The provider's authorized official is Bruce R Maddern .
The authorized official title is President and has the following contact phone number (904) 398-5437.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 9/7/2007.

Taxonomy Codes

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