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Individual

MARC O MAYBAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-4418
(352) 273-8610
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 949-3349
(405) 552-0450

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MFC1878
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
30455
OK
207RC0000X
Cardiovascular Disease Physician
30455
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117039400
FL
Enumeration date
09/05/2008
Last updated
04/25/2023
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