| Olin Mauldin M.d., Llc | |
|
4217 Baymeadows Rd Suite 3 Jacksonville FL 32217-4676 | |
| (904) 332-7431 | |
| (904) 332-7408 |
| Full Name | Olin Mauldin M.d., Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4217 Baymeadows Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Wendy C Lu (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9043327431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olin Mauldin M.d., Llc 4217 Baymeadows Rd Suite 3 Jacksonville FL 32217-4676 Ph: (904) 332-7431 | Olin Mauldin M.d., Llc 4217 Baymeadows Rd Suite 3 Jacksonville FL 32217-4676 Ph: (904) 332-7431 |
| NPI Number | 1104227628 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104227628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME54094 (Florida) | Primary |
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