MAXINE MINTO MD P.A. (NPI# 1376828178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376828178 |
| Entity Type | Organization |
| Organization Name | MAXINE MINTO MD P.A. |
| Practice Address |
1540 International Pkwy Suite 2000 Lake Mary FL 32746-4713 |
| Mailing Address |
10524 Moss Park Rd Suite 204-516 Orlando FL 32832-5898 |
| Practice Telephone | 4075365375 |
| Practice Fax Number | 4075365301 |
| Mailing Telephone | 4075365375 |
| Mailing Fax Number | 4075365301 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-13 |
| Authorized Official Name | DR. MAXINE JOAN MINTO (PRESIDENT) |
| Authorized Official Telephone | 4075365375 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
ME69898 | FL | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
ME69898 | FL | Ambulatory Health Care Facilities |
| Street Address |
1540 INTERNATIONAL PKWY SUITE 2000 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093847485 | Kathy Veon | Acupuncturist | 1540 International Pkwy, #2000, Lake Mary, FL 32746-5096 | 2007-03-12 |
| 1932754561 | Lake Mary Counseling, LLC | Counselor | 1540 International Pkwy, Lake Mary, FL 32746-5096 | 2019-08-09 |
| 1508308164 | Living Water Counseling Center | Point of Service | 1540 International Pkwy, Lake Mary, FL 32746-5096 | 2016-11-14 |
| 1427420298 | Lake Mary Radiology, Pllc | Radiology | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-5096 | 2015-10-20 |
| 1346627650 | Opa Physician Partners, Pllc | Internal Medicine | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-5096 | 2015-05-06 |
| 1851778260 | Florida Radiology & Neurology Associates, Pllc | Radiology | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-5096 | 2015-05-05 |
| 1669865218 | Florida Diagnostic Solutions LLC | Clinic/Center | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-5096 | 2015-03-06 |
| 1497176036 | Helpers In Heels LLC | Respite Care | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-5096 | 2013-12-29 |
| 1285976340 | Excellent Life Design Corporation | Community/Behavioral Health | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-5096 | 2013-03-26 |
| 1336410349 | Phoenix Rising Now Corporation | Community/Behavioral Health | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-4713 | 2012-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937290 | In The Name of Children, LLC | Clinic/Center | 300 S Pine Island Rd Ste 224, Plantation, FL 33324-2620 | 2020-09-22 |
| 1700403698 | True Care Home Services Inc | Clinic/Center | 9139 Sw 227th Ter, Cutler Bay, FL 33190-1977 | 2020-06-26 |
| 1225661473 | The Center for Advanced Neurosciences | Clinic/Center | 13337 Sw 44th St, Davie, FL 33330-4713 | 2020-02-17 |
| 1528628856 | Modern Reality | Clinic/Center | 200 Knuth Rd Ste 101, Boynton Beach, FL 33436-4635 | 2019-06-18 |
| 1801450515 | Inspirational Care Counseling LLC | Clinic/Center | 12630 Bramfield Dr, Riverview, FL 33579-7774 | 2019-04-29 |
| 1942769567 | Veronica Castro, Psy.d., Pa | Clinic/Center | 9380 Sunset Dr Ste B165, Miami, FL 33173-5456 | 2019-03-13 |
| 1780159061 | Solutions Center for Personal Growth | Clinic/Center | 664 Se Monterey Rd, Stuart, FL 34994-4410 | 2018-10-12 |
| 1821595281 | Inspirations Youth Academy LLC | Clinic/Center | 757 South East 17th Street, Fort Lauderdale, FL 33316-2960 | 2018-04-11 |
| 1558867341 | All Star Children's Foundation | Clinic/Center | 3308 17th St, Sarasota, FL 34235-8904 | 2018-04-02 |
| 1598268906 | Risen Consultants LLC | Clinic/Center | 1470 Nw 107th Ave Unit19r, Sweetwater, FL 33172-2735 | 2018-03-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MAXINE MINTO MD P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.