Individual
DR. CHARLES G MAITLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 CENTERVILLE RD, SUITE 510, TALLAHASSEE, FL 32308-4647
(850) 878-3592
(850) 878-3970
Mailing address
1401 CENTERVILLE RD, SUITE 510, TALLAHASSEE, FL 32308-4647
(850) 878-3592
(850) 878-3970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME43800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068900900
—
FL
Enumeration date
07/05/2005
Last updated
02/07/2017
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