Individual
MARTIN E MALDONADO-ALFANDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14547 BRUCE B. DOWNS BLVD., TAMPA, FL 33613
(813) 280-7100
(813) 355-5023
Mailing address
38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME70575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100012607
RR MEDICARE
FL
05
—
256542100
—
FL
Enumeration date
09/29/2006
Last updated
05/23/2024
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