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NPI Code Detail

MEDICARE: PHILIP COLBURN MAHER MD

MEDICARE: PHILIP COLBURN MAHER 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
1207T00000XNeurological Surgery PhysicianME118973FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831286863
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP COLBURN MAHER MD
Provider Business Mailing Address
First Line : 4205 BELFORT RD STE 4015
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-3623
Country : US
Telephone Number : 904-450-6063
Fax Number : 904-539-4091
Provider Business Practice Location Address
First Line : 513 BROOKWOOD BLVD STE 101
Second Line :
City : HOMEWOOD
State : AL
Zip : 35209-6878
Country : US
Telephone Number : 205-933-8981
Fax Number : 205-930-0746
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 05/15/2026

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Directions to “ PHILIP COLBURN MAHER MD” Practice Location

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