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NPI Code Detail

MEDICARE: DR. MAX B MEDARY M.D.

MEDICARE:  DR. MAX B MEDARY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery PhysicianME75973FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
123036OTHERFLWELLCARE
22189945OTHERFLAETNA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184605370
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAX B MEDARY M.D.
Provider Business Mailing Address
First Line : PO BOX 692409
Second Line :
City : ORLANDO
State : FL
Zip : 32869-2409
Country : US
Telephone Number : 407-355-0575
Fax Number : 407-355-0576
Provider Business Practice Location Address
First Line : 7340 STONEROCK CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32819-8000
Country : US
Telephone Number : 407-355-0575
Fax Number : 407-355-0576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 07/01/2010

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Directions to “ DR. MAX B MEDARY M.D.” Practice Location

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