Maddalon, Robert John

Maddalon, Robert John is an individual health care provider with primary practice located at 721 W Robertson St Ste 102, Brandon FL 33511-4934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Maddalon, Robert John can be contacted via phone (813) 684-3707.

Contact Information

Primary practice address
721 W Robertson St Ste 102 Brandon FL 33511-4934
Phone: (813) 684-3707
Fax: (813) 643-2457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME0046498 Florida

Profile Details

NPI number 1982667515
LBN Legal business name Maddalon, Robert John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Mar 15th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982667515 NPPES
Florida Other 206415 AVMED
Florida Other 1009622 AVMED
Florida Other P01184811 AVMED
Florida MEDICAID 041797100 AVMED
Florida Other 30811 AVMED
Florida Other 0624161 AVMED

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