Michael G. Madison Od PA

NPI #1548508039 in Marco Island, Florida

Provider Information

NPI Number: 1548508039
Entity Type: Organization
Organization Name: Michael G. Madison Od PA
Primary Specialty: Optometrist
Enumeration Date: Jan 18, 2013
Last Updated: Feb 18, 2013

Practice Location

Address: 914 PARK AVE
City: Marco Island
State: Florida
ZIP Code: 34145-2751
Phone: (239) 394-3068

Authorized Official

Name: DR. MICHEAL G MADISON, OD
Title: OWNER
Phone: (239) 394-3068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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