Maggard, Michael L

Maggard, Michael L is an individual health care provider with primary practice located at 13930 7Th St , Dade City FL 33525-4904. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Maggard, Michael L can be contacted via phone (352) 567-8989.

Contact Information

Primary practice address
13930 7Th St Dade City FL 33525-4904
Phone: (352) 567-8989
Fax: (352) 567-0116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OB 437 Florida
Eye and Vision Services Providers / Optometrist 152W00000X OPC 1762 Florida

Profile Details

NPI number 1437155868
LBN Legal business name Maggard, Michael L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Feb 25th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437155868 NPPES
Florida Other 410000386 RAILROAD MEDICARE

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