Maederer, Mark A

Maederer, Mark A is an sole proprietor health care provider with primary practice located at 3095 Nw 7Th St , Miami FL 33125. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Maederer, Mark A can be contacted via phone (305) 642-4044.

Contact Information

Primary practice address
3095 Nw 7Th St Miami FL 33125
Phone: (305) 642-4044
Fax: (305) 642-2320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO2975 Florida

Profile Details

NPI number 1033172630
LBN Legal business name Maederer, Mark A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2006
Last updated Aug 28th, 2018 - about 6 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 1033172630 NPPES
Florida Other 65739Y MEDICARE LEGACY
Florida MEDICAID 3406512 00 MEDICARE LEGACY

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