Individual
DR. MARK A MAEDERER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3095 NW 7TH ST, MIAMI, FL 33125
(305) 642-4044
(305) 642-2320
Mailing address
3095 NW 7TH ST, MIAMI, FL 33125-4241
(305) 642-4044
(305) 642-2320
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406512 00
—
FL
01
—
65739Y
MEDICARE LEGACY
FL
Enumeration date
04/07/2006
Last updated
08/28/2018
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