Individual
DR. NICHOLAS G MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACEP
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
(352) 265-0627
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME120564
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012365800
—
FL
Enumeration date
03/23/2010
Last updated
06/08/2022
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