Doctor Name: | DR. DOUGLAS MADER |
NPI Number: | 1669830485 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DVM |
License Number: | VM7231 |
Business Practice Address: | 5001 Overseas Hwy Marathon, FL - 330502621 |
Business Phone Number: | 3057437099 |
Business Fax Number: | 3057434057 |
Mailing Address: | 5001 Overseas Hwy, MARATHON |
State: | FL |
Postal Code: | 330502621 |
Phone Number: | 3057437099 |
Fax Number: | 3057434057 |
NPI Enumeration Date: | 02/08/2016 |
NPI Last Update Date: | 02/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | VM7231 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |