Individual
DR. MAXIME G GEDEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2310 NORTH BLVD W STE A, DAVENPORT, FL 33837-8988
(813) 701-5804
(813) 291-7615
Mailing address
3501 BESSIE COLEMAN BLVD UNIT 25201, TAMPA, FL 33622-9130
(813) 701-5804
(813) 291-7615
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD059432L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME166986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015959640008
—
PA
01
—
875476
BLUE SHIELD
PA
Enumeration date
09/27/2005
Last updated
08/09/2024
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