Individual provider · Type 1 NPI

Kevin C. Maddox, ARNP

Gerontology Nurse Practitioner · Tampa, FL

NPI number 1992174114 Active

Practice location

1 Tampa General Cir, Suite A327
Tampa, FL 33606-3571

Fax (813) 844-4972

Mailing address

400 N Ashley Dr, Suite 1625
Tampa, FL 33602-4300

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XARNP 9311349 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1992174114

Kevin C. Maddox, ARNP's National Provider Identifier is 1992174114, issued on Sep 17, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Tampa, FL. The record was last updated on Sep 18, 2015.