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NPI Code Detail

MEDICARE: DR. MICHAEL H MAHER M.D.

MEDICARE:  DR. MICHAEL H MAHER  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
1207Q00000XFamily Medicine PhysicianME98797FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
215069OTHERFLBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649243114
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL H MAHER M.D.
Provider Business Mailing Address
First Line : 1807 PENMAN RD
Second Line :
City : NEPTUNE BEACH
State : FL
Zip : 32266-3175
Country : US
Telephone Number : 904-202-1032
Fax Number : 904-376-3707
Provider Business Practice Location Address
First Line : 1807 PENMAN RD
Second Line :
City : NEPTUNE BEACH
State : FL
Zip : 32266-3175
Country : US
Telephone Number : 904-200-2580
Fax Number : 904-200-2580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 11/07/2025

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Directions to “ DR. MICHAEL H MAHER M.D.” Practice Location

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