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Individual

DR. WELDON ARNOLD MAUNEY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 GULF BREEZE PKWY STE 300, GULF BREEZE, FL 32561-4458
(850) 932-5055
(950) 932-1401
Mailing address
PO BOX 280, GULF BREEZE, FL 32562-0280
(850) 932-5055
(950) 932-1401

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME105468
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME105468
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001454000
FL
05
1396915898
AL
01
146N7
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/11/2008
Last updated
01/23/2024
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