Individual
MRS. MEGAN MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
709 S HARBOR CITY BLVD STE 100, MELBOURNE, FL 32901-1936
(321) 725-2225
(321) 308-0635
Mailing address
709 S HARBOR CITY BLVD STE 100, MELBOURNE, FL 32901-1936
(321) 725-2225
(321) 308-0635
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9107017
FL
Other
Enumeration date
02/15/2013
Last updated
07/01/2013
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