Individual provider · Type 1 NPI

Bruce Robert Maddern, MD

Pediatric Otolaryngology Physician · Jacksonville, FL

NPI number 1528030418 Active

Practice location

10475 Centurion Pkwy N, Suite 302
Jacksonville, FL 32256-5003

Call (904) 398-5437 Map

Fax (904) 398-3077

Mailing address

1033 Dr Martin Luther King Jr St N, Ste. 108
St. Petersburg, FL 33701-1547

Specialties and licenses

TaxonomyCodeLicense
Pediatric Otolaryngology Physician Primary 207YP0228XME0056292 (FL)
Otolaryngology/Facial Plastic Surgery Physician 207YX0905XME0056292 (FL)

Pediatric Otolaryngology Physician: A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearin…

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About NPI 1528030418

Bruce Robert Maddern, MD's National Provider Identifier is 1528030418, issued on Feb 3, 2006. The primary taxonomy on file is Pediatric Otolaryngology Physician (207YP0228X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 25, 2014.