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General NPI Number Information
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NPI Number | 1417939067
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Entity Type | Individual
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Provider Name | RICHARD C MAUER MD
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 2500 W 23RD ST
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City | PANAMA CITY
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State | FL
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Zip | 32405-2349
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Country | US
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Telephone | 850-784-3936
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Fax | 850-784-3539
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Provider Business Mailing Address
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Address Line | 2800 ROSS CLARK CIR
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City | DOTHAN
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State | AL
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Zip | 36301-2040
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Country | US
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Telephone | 334-793-2211
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Fax | 334-793-7161
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME141272
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 52732
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 24873
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License Number State | IA
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