Individual
DR. MITCHELL W. MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 RODEL CV, LAKE MARY, FL 32746-4859
(407) 302-3130
(407) 302-3132
Mailing address
725 RODEL CV, LAKE MARY, FL 32746-4859
(407) 302-3130
(407) 302-3132
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME57041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053272000
—
FL
Enumeration date
10/31/2005
Last updated
05/26/2020
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