Individual
JERRY WAYNE MAIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11945 SAN JOSE BLVD, #102, JACKSONVILLE, FL 32223
(904) 268-3937
(904) 268-7725
Mailing address
11945 SAN JOSE BLVD, #102, JACKSONVILLE, FL 32223
(904) 268-3937
(904) 268-7725
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0014582
FL
Other
Enumeration date
10/14/2006
Last updated
07/08/2007
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