Provider Demographics
NPI:1528010089
Name:MADDALENA, SONIA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:MARIE
Last Name:MADDALENA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:MARIE
Other - Last Name:BARBOZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 PERSHING WAY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-8035
Mailing Address - Country:US
Mailing Address - Phone:863-983-2227
Mailing Address - Fax:
Practice Address - Street 1:500 W SUGARLAND HWY
Practice Address - Street 2:
Practice Address - City:CLEWISTON
Practice Address - State:FL
Practice Address - Zip Code:33440-3021
Practice Address - Country:US
Practice Address - Phone:863-983-2227
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60037207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine