| Maxwell Medical Pllc | |
|
4020 Us 27 N Sebring FL 33870-1333 | |
| (863) 314-0020 | |
| (863) 314-0024 |
| Full Name | Maxwell Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4020 Us 27 N, Sebring, Florida |
| Authorized Official Name and Position | Marvin D Maxwell (OWNER) |
| Authorized Official Contact | 8633140020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwell Medical Pllc 4020 Us 27 N Sebring FL 33870-1333 Ph: (863) 314-0020 | Maxwell Medical Pllc 4020 Us 27 N Sebring FL 33870-1333 Ph: (863) 314-0020 |
| NPI Number | 1366638454 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 8921293499 |
|---|---|
| Medicare Enrollment ID | O20101110000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366638454 | NPI | - | NPPES |
| CJ8463 | Other | FL | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME67256 (Florida) | Primary |
| Provider Name | Marvin Maxwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720001209 PECOS PAC ID: 3274728753 Enrollment ID: I20101110000255 |
| Provider Name | Kenneth O'dell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154778975 PECOS PAC ID: 6709113319 Enrollment ID: I20190805003230 |
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