Provider Demographics
NPI:1487754073
Name:MADDIX, HOPE E (APRN)
Entity type:Individual
Prefix:MS
First Name:HOPE
Middle Name:E
Last Name:MADDIX
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8212 TREASURE ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-9200
Mailing Address - Country:US
Mailing Address - Phone:352-552-7726
Mailing Address - Fax:352-326-2911
Practice Address - Street 1:29320 US HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-8227
Practice Address - Country:US
Practice Address - Phone:352-360-0400
Practice Address - Fax:352-360-0404
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9169868363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health