Donald James Maddack
Family Doctor General Practice Physician
901 Venetia Bay Blvd Ste 110
Venice
, Florida 34285-8042
Donald James Maddack
Family Doctor General Practice Physician
901 Venetia Bay Blvd Ste 110
Venice
, Florida 34285-8042
(941) 485-8062
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About
Features
Specialties
- Family Doctor
- General Practice Physician
Languages spoken
- English
Location
First Address
- Donald James Maddack
- 901 Venetia Bay Blvd Ste 110
- Venice, FL
- Zip : 34285-8042
- Fax : (941) 485-8062
- Phone : (941) 484-4778
Second Address
- Donald James Maddack
- 901 Venetia Bay Blvd Ste 110
- Venice, FL
- Zip : 34285-8042
- Fax : (941) 485-8062
- Phone : (941) 484-4778
Reviews
FAQs
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What type of doctor is Donald James Maddack
In what state does Donald James Maddack practice in?
Where is Donald James Maddack ’s practice located?
What is Donald James Maddack ’s gender?
Is Donald James Maddack a sole practitioner?
Is Donald James Maddack accepting new patients?
What languages does Donald James Maddack speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | OS17632 | FL |
| N | 208D00000X | General Practice Physician | 02001180 | IN |
National Provider Identifier
| NPI | 1013911031 |
|---|---|
| Provider Name | Donald James Maddack |
| First Address | Venice, FL 34285-8042 |
| Second Address | Venice, FL 34285-8042 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2005 |
| Last Update Date | 22/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E66928 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.