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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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