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Organization

SHERRI LEE MAETOZO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHERRI LEE MAETOZO MD (CEO MEDICAL DOCTOR)
(904) 461-5330
Entity
Organization

Contact information

Practice address
1301 PLANTATION ISLAND DRIVE, STE 103, ST AUGUSTINE, FL 32080-3109
(904) 461-5330
(904) 461-5334
Mailing address
1301 PLANTATION ISLAND DRIVE, STE 103, ST AUGUSTINE, FL 32080-3109
(904) 461-5330
(904) 461-5334

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0056926
FL

Other

Enumeration date
05/27/2010
Last updated
05/27/2010
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