Organization
LINDA MAYNARD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MAYNARD (OFFICE MGR)
(850) 270-2710
Entity
Organization
Contact information
Practice address
2365 CENTERVILLE RD STE L-1, TALLAHASSEE, FL 32308-4317
(850) 270-2710
(850) 270-2720
Mailing address
PO BOX 14798, TALLAHASSEE, FL 32317-4798
(850) 270-2710
(850) 270-2720
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME79385
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47953
BCBSFL
FL
Enumeration date
04/02/2012
Last updated
03/26/2018
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