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MAXIM MEDICAL CENTER PA NPI 1861845463


NPI Information

NPI: 1861845463
Provider Name: MAXIM MEDICAL CENTER PA

Doing Business As: MAXIM MEDICAL CENTER PA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
551 N FEDERAL HWY
SUITE 800
FORT LAUDERDALE, FL
ZIP 33301
Phone: (832) 623-2002
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MAXIM MEDICAL CENTER PA is a family medicine in Fort Lauderdale, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MAXIM MEDICAL CENTER PA NPI is 1861845463. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Maxim Medical Center Pa.

The provider's business location address is:

551 N FEDERAL HWY
SUITE 800
FORT LAUDERDALE, FL
ZIP 33301-559
Phone: (832) 623-2002

The provider's authorized official is Maxim Chumak .
The authorized official title is President/ Owner and has the following contact phone number (832) 623-2002.

The enumeration date for this NPI number is 7/19/2016 and was last updated on 7/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1009449300MEDICAIDFLORIDA
2H0263UMEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.