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1730279142
JERRY WAYNE MAIDA
JACKSONVILLE, FL
NPI
1730279142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: FL ME0014582)
Enumeration Date
2006-10-14
Last Update Date
2007-07-08
Business Address
-- JERRY WAYNE MAIDA MD
11945 SAN JOSE BLVD #102
JACKSONVILLE, FL 32223
Phone number: 904-268-3937
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Mailing Address
-- JERRY WAYNE MAIDA MD
11945 SAN JOSE BLVD #102
JACKSONVILLE, FL 32223
Phone number: 904-268-3937
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