Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Olin Mauldin MD, LLC

Organization Psychiatry Physician · NPI 1104227628

Olin Mauldin MD, LLC is a Psychiatry Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4217 Baymeadows Rd Ste 3
Jacksonville, FL 32217-4676
Phone: (904) 332-7431
Fax: (904) 332-7408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME54094 (FL)

Record details

NPI number1104227628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Lu — Credentialing Coordinator · (904) 332-7431
NPI enumeratedSeptember 16, 2014
Last updated in NPPESSeptember 29, 2014
Mailing address4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676

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