Dr. Olin Beverly Mauldin Jr.
M.D. | Pediatrics | Male
Dr. Olin Beverly Mauldin Jr., M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Olin Beverly Mauldin Jr. is
6271 Saint Augustine Rd, Ufjp San Jose Pediatric And Adolescenter Center, Jacksonville, Florida - 32217-2523. He can be contacted on phone at
904-633-0460 and fax number 904-633-0461.
Dr. Olin Beverly Mauldin Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Olin Beverly Mauldin Jr. is
1154380285 which was assigned by NPPES on 18 Mar, 2006 and it was last updated on 11 Sep, 2008.
Dr. Olin Beverly Mauldin Jr. license number is
ME54094 for Pediatrics (208000000X) in Florida.
Dr. Olin Beverly Mauldin Jr. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Olin Beverly Mauldin Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Olin Beverly Mauldin Jr. |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Olin Beverly Mauldin Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6271 Saint Augustine Rd, Ufjp San Jose Pediatric And Adolescenter Center
Jacksonville, FL, 32217-2523
United States |
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| Phone Number : | 904-633-0460 |
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| Fax Number : | 904-633-0461 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154380285 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Mar, 2006 |
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| Last Updated On : | 11 Sep, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Olin Beverly Mauldin Jr. are as mentioned. Primary taxonomy code for Dr. Olin Beverly Mauldin Jr., M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME54094 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Olin Beverly Mauldin Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000473789A | MEDICAID | GA | |
| 0376370-02 | MEDICAID | FL | |
| 370001193 | Other | FL | RAILROAD MEDICARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 44008, Ufjp Provider Enrollment
Jacksonville, FL, 32231-4008
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Olin Beverly Mauldin Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.