Maxine Reeves Davis, | |
96 Sw Allapattah Rd, Indiantown, FL 34956-4307 | |
(772) 597-9441 | |
Not Available |
Full Name | Maxine Reeves Davis |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 96 Sw Allapattah Rd, Indiantown, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1295478733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9392831 (Florida) | Primary |
Entity Name | Mcr Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
Entity Name | Balanced Wellbeing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336513639 PECOS PAC ID: 5193021848 Enrollment ID: O20160307002587 |
Mailing Address | Practice Location Address |
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Maxine Reeves Davis, 977 Sw College Park Rd, Port Saint Lucie, FL 34953-5869 Ph: (305) 336-2162 | Maxine Reeves Davis, 96 Sw Allapattah Rd, Indiantown, FL 34956-4307 Ph: (772) 597-9441 |
Karen Ann Mercer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1150 Sw Allapattah Rd, Indiantown, FL 34956 Phone: 772-597-3705 | |
Reginald J Sincere, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1150 Sw Allapattah Rd, Indiantown, FL 34956 Phone: 954-588-9241 | |
Asha K Kornegay, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15858 Sw Warfield Blvd., Indiantown, FL 34956 Phone: 772-597-3596 Fax: 844-542-4898 | |
Karen Deborah Smith, FNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15208 Sw Palm Oak Dr, Indiantown, FL 34956 Phone: 772-349-0544 | |
Tisha Alecia Patten, NP-C, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1150 Sw Allapattah Rd, Indiantown, FL 34956 Phone: 772-597-0000 |