Male or Other

David Maynoldi M.D.

Hospitalist Physician in Orange Park, FL(View on Map)

Full Name

David Maynoldi M.D.

NPI Number

1144591249

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/20/2012

Specialties

(Taxonomies)

Code

208M00000X
207Q00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

ME130811

Contact
Information

Purpose

Mailing
Location

Address

5000-18 US HIGHWAY 17 SOUTH
1202 KINGSLEY AVE

City

Fleming Island
Orange Park

State

FL
FL

Postal Code

32003
32073-4632

Country

US
US

Telephone Number

(877) 842-4020
(877) 842-4020

Identifiers

Identifier

ME130811
163944
73904

Identifier State

FL
FL
GA

Identifier Issuer

FLORIDA MEDICAL LICENSE
ABFM
MEDICAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/23/2018

Provider Address

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