Individual
MICHAEL L MAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13930 7TH ST, DADE CITY, FL 33525-4904
(352) 567-8989
(352) 567-0116
Mailing address
13930 7TH ST, DADE CITY, FL 33525-4904
(352) 567-8989
(352) 567-0116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OB 437
FL
152W00000X
Optometrist
Primary
OPC 1762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410000386
RAILROAD MEDICARE
FL
Enumeration date
06/21/2005
Last updated
02/25/2021
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