Provider Demographics
NPI:1598173510
Name:MAJOR-NICOLAS, MAUD (MD)
Entity Type:Individual
Prefix:DR
First Name:MAUD
Middle Name:
Last Name:MAJOR-NICOLAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 MUSTANG RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-6028
Mailing Address - Country:US
Mailing Address - Phone:407-310-0203
Mailing Address - Fax:
Practice Address - Street 1:5008 MUSTANG RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6028
Practice Address - Country:US
Practice Address - Phone:407-310-0203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94104207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology