Organization
BALANCE DISORDERS CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES G MAITLAND M.D. (PHYSICIAN)
(850) 878-3592
Entity
Organization
Contact information
Practice address
1401 CENTERVILLE RD, STE 510, TALLAHASSEE, FL 32308-4647
(850) 878-3592
(850) 878-3970
Mailing address
1401 CENTERVILLE RD, STE 510, TALLAHASSEE, FL 32308-4647
(850) 878-3592
(850) 878-3970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0043800
FL
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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