Individual ProviderJose MaldonadoFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address13000 Bruce B Downs Blvd, Tampa, FL 33612-4745(813) 972-2000PECOS EnrollmentBased on the most recent information from CMS, provider Jose Maldonado is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 12:02 PM.Profile DetailsProvider ID1356380034Provider TypeIndividualFull NameMaldonado, JoseTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date6/6/2006Last Updated12/2/2009Contact InformationPractice LocationPractice Address13000 Bruce B Downs Blvd, Tampa, FL 33612-4745Phone(813) 972-2000FaxUnlisted FaxMailing LocationMailing Address913 Lake Sapphire Ln, Lutz, FL 33548-6476Phone(813) 972-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseME70298Florida