# MICHAEL L MAGGARD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael L Maggard OD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912194887
- **Authorized official:** MICHAEL MAGGARD OD (DR)
- **Authorized official phone:** (352) 567-9020

## Contact information

- **Practice address:** 13930 7TH ST, DADE CITY, FL 33525-4904
- **Practice address phone:** (352) 567-9020
- **Mailing address:** 13930 7TH ST, DADE CITY, FL 33525-4904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 0001762 | FL | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 02/25/2021