Individual
JENNIFER L MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45 GROOVER LOOP STE 201, ST AUGUSTINE, FL 32086-6586
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME99389
FL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME99389
FL
207XX0801X
Orthopaedic Trauma Physician
ME99389
FL
2086S0105X
Surgery of the Hand (Surgery) Physician
ME99389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024284600
—
FL
05
—
279103000
—
FL
01
—
P00433235
RR MEDICARE
FL
Enumeration date
07/18/2006
Last updated
07/28/2025
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