Individual
JOHN C MADLENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
903 JORDAN BLASS DR, SUITE 102, MELBOURNE, FL 32940-1325
(321) 751-5351
(321) 751-5370
Mailing address
903 JORDAN BLASS DR, SUITE 102, MELBOURNE, FL 32940-1325
(321) 751-5351
(321) 751-5370
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME86688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267338000
—
FL
Enumeration date
10/02/2006
Last updated
04/11/2024
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