DR. BRUCE ROBERT MADDERN MD NPI 1528030418

NPI Information

DR. Bruce Robert Maddern, MD 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. DR. Bruce Robert Maddern, MD NPI is 1528030418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

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 CLIA number assigned to this NPI record is 10D2084363 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2006 and was last updated on 6/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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