Individual
ALICIA R. MAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 392-1161
(352) 392-3252
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 392-1161
(352) 392-3252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME36757
FL
207QA0000X
Adolescent Medicine (Family Medicine) Physician
ME36757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002747100
—
FL
Enumeration date
06/26/2006
Last updated
12/09/2010
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