Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | ME145486 | FL |
N | 2086S0122X | Plastic and Reconstructive Surgery | ME145486 | FL |
NPI | 1235557166 |
---|---|
Provider Name | Dr. Maximilian R. Padilla |
First Address | Fort Myers, FL 33919-0339 |
Second Address | Fort Myers, FL 33912-1850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2014 |
Last Update Date | 19/08/2020 |