| Maxim Medical Center Pa | |
|
551 N Federal Hwy Suite 800 Fort Lauderdale FL 33301-2559 | |
| (832) 623-2002 | |
| Not Available |
| Full Name | Maxim Medical Center Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 551 N Federal Hwy, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Maxim Chumak (PRESIDENT/ OWNER) |
| Authorized Official Contact | 8326232002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxim Medical Center Pa 551 N Federal Hwy Suite 800 Fort Lauderdale FL 33301-2559 Ph: (832) 623-2002 | Maxim Medical Center Pa 551 N Federal Hwy Suite 800 Fort Lauderdale FL 33301-2559 Ph: (832) 623-2002 |
| NPI Number | 1861845463 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 07/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861845463 | NPI | - | NPPES |
| 009449300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | (* (Not Available)) | Secondary |
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