Organization
ROBERT R. MAUGER, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R. MAUGER O.D. (PRESIDENT)
(407) 340-9080
Entity
Organization
Contact information
Practice address
120 PINE NEEDLE LN, ALTAMONTE SPRINGS, FL 32714-5814
(407) 340-9080
Mailing address
120 PINE NEEDLE LN, ALTAMONTE SPRINGS, FL 32714-5814
(407) 340-9080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078305600
—
FL
Enumeration date
01/03/2012
Last updated
01/03/2012
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