Individual
KERRY A MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 UNIVERSITY BLVD S, SUITE 103, JACKSONVILLE, FL 32216-4377
(904) 858-7606
(904) 858-7610
Mailing address
3599 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4252
(904) 858-7606
(904) 858-7610
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME89310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270758600
—
FL
01
—
P00262445
RR MEDICARE
FL
Enumeration date
06/20/2006
Last updated
08/07/2008
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