Individual
DR. MAXIMILIAN R. PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11571 VERANDAH BLVD, FORT MYERS, FL 33905-6241
(239) 415-7576
Mailing address
660 CABANA RD, VENICE, FL 34293-5875
(239) 415-7576
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME145486
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
ME145486
FL
Other
Enumeration date
03/28/2014
Last updated
12/05/2023
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