Individual
MICHAEL MAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SEVEN RIVERS REGIONAL MEDICAL CENTER, 6201 N.SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(352) 795-6560
(352) 795-8369
Mailing address
PO BOX 788, FOLLY BEACH, SC 29439-0788
(843) 425-2139
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0045114
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17647
BCBS
FL
Enumeration date
06/02/2006
Last updated
07/08/2007
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