# SHERRI LEE MAETOZO MD PA

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

## Provider details

- **NPI number:** 1710206925
- **Authorized official:** DR. SHERRI LEE MAETOZO MD (CEO MEDICAL DOCTOR)
- **Authorized official phone:** (904) 461-5330

## Contact information

- **Practice address:** 1301 PLANTATION ISLAND DRIVE, STE 103, ST AUGUSTINE, FL 32080-3109
- **Practice address phone:** (904) 461-5330
- **Practice address fax:** (904) 461-5334
- **Mailing address:** 1301 PLANTATION ISLAND DRIVE, STE 103, ST AUGUSTINE, FL 32080-3109
- **Mailing address phone:** (904) 461-5330
- **Mailing address fax:** (904) 461-5334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME0056926 | FL | Yes |

## Other

- **Enumeration date:** 05/27/2010
- **Last updated:** 05/27/2010