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NPI Code Detail

MEDICARE: DR. LINDA MAYNARD M.D.

MEDICARE: DR. LINDA MAYNARD 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
1207R00000XInternal Medicine PhysicianME79385FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00023799OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
147953OTHERFLBLUE CROSS FL
27329035OTHERFLAETNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366597049
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA MAYNARD M.D.
Provider Business Mailing Address
First Line : PO BOX 1289
Second Line :
City : TAMPA
State : FL
Zip : 33601-1289
Country : US
Telephone Number : 813-660-6400
Fax Number : 813-660-6699
Provider Business Practice Location Address
First Line : 10740 PALM RIVER RD STE 360
Second Line :
City : TAMPA
State : FL
Zip : 33619-4578
Country : US
Telephone Number : 813-660-6400
Fax Number : 850-270-2720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 06/08/2021

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