Individual
KEVIN C MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4434
(813) 844-4972
Mailing address
400 N ASHLEY DR, SUITE 1625, TAMPA, FL 33602-4300
(813) 514-6387
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP 9311349
FL
Other
Enumeration date
09/17/2015
Last updated
09/18/2015
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