# MADLENERHAUSUSA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083469456
- **Authorized official:** JOHN MADLENER MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (321) 806-9450

## Contact information

- **Practice address:** 2210 FRONT ST STE 207, MELBOURNE, FL 32901-7506
- **Practice address phone:** (321) 806-9450
- **Mailing address:** 544 MURRELL ROAD, SUITE 102 PMB 156, ROCKLEDGE, FL 32955
- **Mailing address phone:** (321) 806-9450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2024
- **Last updated:** 08/15/2024
