Organization
REUBEN MAGGARD M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY C LU (CREDENTIALING COORDINATOR)
(904) 221-2535
Entity
Organization
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(606) 233-5555
(904) 642-6262
Mailing address
PO BOX 551099, JACKSONVILLE, FL 32255-1099
(606) 233-5555
(904) 642-6262
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME112969
FL
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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