MEDICARE: DR. EDWIN W. MALDONADO, M.D., P.L.

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
1	208VP0014X	Interventional Pain Medicine Physician		FL

General Provider Information

NPI Number	:	1952776270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. EDWIN W. MALDONADO, M.D., P.L.

Provider Business Mailing Address
First Line	:	1049 S STATE ROAD 7
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6135
Country	:	US
Telephone Number	:	561-578-4582
Fax Number	:	561-828-2377

Provider Business Practice Location Address
First Line	:	1049 S STATE ROAD 7
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6135
Country	:	US
Telephone Number	:	561-578-4582
Fax Number	:	561-828-2377

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EDWIN W MALDONADO
Credential	:	MD
Telephone Number	:	954-376-9281

Provider Enumeration Date	:	12/11/2015
Last Update Date	:	05/13/2026

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