Individual
DR. JUAN D. MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1404 S 28TH ST, FORT PIERCE, FL 34947-6999
(772) 293-0770
Mailing address
1404 S 28TH ST, FORT PIERCE, FL 34947-6999
(772) 293-0770
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15289
PR
Other
Enumeration date
09/28/2006
Last updated
01/05/2015
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