Individual
DR. JUSTO MAQUEIRA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 E 23RD ST, PANAMA CITY, FL 32405-4501
(850) 769-0338
(850) 785-6088
Mailing address
103 E 23RD ST, PANAMA CITY, FL 32405-4501
(850) 769-0338
(850) 785-6088
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME64912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379881000
—
FL
Enumeration date
10/15/2005
Last updated
10/10/2013
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