IndividualActive
Bruce Maddern, MD
NPI 1528030418 · Pediatric Otolaryngology Physician · Jacksonville, FL
Provider details
- NPI number
- 1528030418
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME0056292 (FL)
Practice location
10475 Centurion Pkwy N
Suite 302
Jacksonville, FL 32256-5003
Phone: (904) 398-5437
Fax: (904) 398-3077
Mailing address
1033 Dr Martin Luther King Jr St N
St Petersburg, FL 33701-1547
Registry dates
- Enumerated
- 2006-02-03
- Last updated
- 2014-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.