NPIMap

Organization Active NPI

Okun and Maddalon M.D. PA

  • Specialist
  • Brandon, FL
National Provider Identifier
1407891302
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0044550 Issued in FL
Legal business name
OKUN AND MADDALON M.D. PA
Practice address
721 W Robertson St
Ste 102
Brandon, FL 33511-4934
Phone
(813) 684-3707
Fax
(813) 654-3671
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. John David Okun, MD
Title
President
Phone
(813) 684-3707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME0044550 FL Primary

Addresses

Primary practice location

721 W Robertson St
Ste 102
Brandon, FL 33511-4934

Mailing address

721 W Robertson St
Ste 102
Brandon, FL 33511-4934
Phone (813) 684-3707

Other names 1

  • Brandon Orthopedics Associates Doing business as

National Provider Directory

National Provider Directory

Locations

721 W Robertson St
Ste 101
Brandon, FL 33511
Phone (813) 654-1410

10141 Big Bend Rd
Ste 201
Riverview, FL 33578
Phone (813) 684-3707

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1407891302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W ROBERTSON ST",
            "address_2": "STE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114934",
            "telephone_number": "813-684-3707",
            "fax_number": "813-643-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W ROBERTSON ST",
            "address_2": "STE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114934",
            "telephone_number": "813-684-3707",
            "fax_number": "813-654-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKUN AND MADDALON M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "OKUN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-684-3707",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0044550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Orthopedics Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.