Ivan Maldonado

NPI #1952714404 in Jacksonville, Florida

Provider Information

NPI Number: 1952714404
Entity Type: Individual
Name: Ivan Maldonado
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Jun 3, 2014
Last Updated: Jun 3, 2014

Practice Location

Address: 6320 ARLINGTON RD
City: Jacksonville
State: Florida
ZIP Code: 32211-5430
Phone: (904) 743-9069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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