Healthcare Provider Details

I. General information

NPI: 1518940246
Provider Name (Legal Business Name): NOEL A. MAUN MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S TAMIAMI TRL
SARASOTA FL
34239-3509
US

IV. Provider business mailing address

1700 S TAMIAMI TRL
SARASOTA FL
34239-3555
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-7799
  • Fax:
Mailing address:
  • Phone: 941-917-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberME84976
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME84976
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: