Provider Demographics
NPI:1720508070
Name:MALDONADO, FELIX J (MED)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:J
Last Name:MALDONADO
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:306 E OAK ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-4537
Mailing Address - Country:US
Mailing Address - Phone:407-933-8331
Mailing Address - Fax:407-944-9471
Practice Address - Street 1:306 E OAK ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4537
Practice Address - Country:US
Practice Address - Phone:407-933-8331
Practice Address - Fax:407-944-9471
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)