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NPI Code Detail

MEDICARE: JAY S MAIZES MD

MEDICARE: JAY S MAIZES MD
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
1207RP1001XPulmonary Disease PhysicianME78963FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2KW569OTHERFLMEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1821045642
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAY S MAIZES MD
Provider Business Mailing Address
First Line : 190 JOHN F KENNEDY DR
Second Line :
City : ATLANTIS
State : FL
Zip : 33462-1186
Country : US
Telephone Number : 561-967-4118
Fax Number : 561-967-3463
Provider Business Practice Location Address
First Line : 190 JOHN F KENNEDY DR
Second Line :
City : ATLANTIS
State : FL
Zip : 33462-1186
Country : US
Telephone Number : 561-967-4118
Fax Number : 561-967-3463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 03/23/2026

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