OrganizationActive
Bruce R Maddern MD PA
NPI 1225001589 · Pediatric Otolaryngology Physician · Jacksonville, FL
Provider details
- NPI number
- 1225001589
- Entity type
- Organization
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bruce Maddern, President(904) 398-5437
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
10475 Centurion Pkwy N
Suite 302
Jacksonville, FL 32256-5003
Phone: (904) 398-5437
Fax: (904) 398-3077
Approximate (ZIP-level) locationGet directions
Mailing address
10475 Centurion Pkwy N
Jacksonville, FL 32256-5003
Registry dates
- Enumerated
- 2006-02-08
- Last updated
- 2007-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.