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

Donald James Maddack, DO

Individual provider Family Medicine Physician · NPI 1013911031

Donald James Maddack, DO is a Family Practice in Venice, Florida. Qualified in 1989, 37 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group and offers telehealth. Licensed in Florida and Indiana.

Years since qualifying
37
Licensed in
FL, IN
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

901 Venetia Bay Blvd Ste 110
Venice, FL 34285-8042
Phone: (941) 484-4778
Fax: (941) 485-8063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS17632 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 02001180 (IN)

Record details

NPI number1013911031
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 8, 2005
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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