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Individual

MEADOW MAZE GOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
653-1 W 8TH ST, UF HEALTH JAX, DEPT OB-GYN, JACKSONVILLE, FL 32209-6511
(904) 244-3112
Mailing address
653-1 W 8TH ST, UNIVERSITY OF FLORIDA HEALTH JAX, DEPT OB-GYN, JACKSONVILLE, FL 32209-6511
(904) 244-3112
(904) 244-3658

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
N1653
TX
207VG0400X
Gynecology Physician
Primary
OS12453
FL

Other

Enumeration date
07/19/2007
Last updated
07/31/2014
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