MAXIM MEDICAL CENTER PA (NPI# 1861845463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861845463 |
| Entity Type | Organization |
| Organization Name | MAXIM MEDICAL CENTER PA |
| Other Organization Name | MAXIM MEDICAL CENTER PA |
| Practice Address |
551 N Federal Hwy Suite 800 Fort Lauderdale FL 33301-2559 |
| Practice Telephone | 8326232002 |
| Mailing Telephone | 8326232002 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | DR. MAXIM CHUMAK (PRESIDENT/ OWNER) |
| Authorized Official Telephone | 8326232002 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009449300 | 05 |
| Other Name | Type Code |
|---|---|
| Maxim Medical Center Pa | Doing Business As Name - Organization |
| Street Address |
551 N FEDERAL HWY SUITE 800 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33301-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942463054 | Maxim Chumak | Family Medicine | 551 N Federal Hwy, Suite 800, Fort Lauderdale, FL 33301-2559 | 2008-07-08 |
| 1972067437 | Jennah Logan Siegel | Nurse Practitioner | 551 N Federal Hwy, Fort Lauderdale, FL 33301-2559 | 2019-01-29 |
| 1972999159 | Sage Dental of Downtown Fort Lauderdale Pllc | Dentist | 551 N Federal Hwy, Suite 900, Fort Lauderdale, FL 33301-2559 | 2015-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074284 | Sergio Francisco Galvez Leiva | Massage Therapist | 311 Se 15 Avenue, 5, Fort Lauderdale, FL 33301 | 2020-08-24 |
| 1083248355 | Aaidebook Inc | In Home Supportive Care | 501 East Olas Blvd., Suite 300 Office 337, Fort Lauderdale, FL 33301 | 2020-02-26 |
| 1962995845 | Primary Care Specialist of South Florida Pa | Internal Medicine | 20200 W Dixie High Way, 1108, Aventura, FL 33301 | 2018-06-14 |
| 1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
| 1093263956 | Lindsay Elizabeth Halas | Speech-Language Pathologist | 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 | 2016-09-20 |
| 1568842433 | Elaina Williams | Behavioral Analyst | 333 Las Olas Way # Cu1, Fort Lauderdale, FL 33301 | 2015-06-04 |
| 1598144057 | Cynthia I Pepper | Occupational Therapist | 440 Ne 4th Ave Unit 722, Fort Lauderdale, FL 33301 | 2015-05-29 |
| 1972900629 | Marquita Rucker | Counselor | 790 East Broward Blvd., Suite 400, Ft. Lauderdale, FL 33301 | 2014-11-24 |
| 1932502879 | Martha Bouza | Obstetrics & Gynecology | 609 Isle of Palms Drive, Fort Lauderdale, FL 33301 | 2014-10-07 |
| 1891117016 | Sara Jimenez | Social Worker | 401 Ne 4th Steret, Ft.lauderdale, FL 33301 | 2014-01-07 |
| Find all providers in zip 33301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235772542 | Chelsea Michaels | Family Medicine | 633 Ne 11th Ave, Fort Lauderdale, FL 33304-4692 | 2019-10-21 |
| 1174090245 | Jmr Medical Services Inc | Family Medicine | 2501 E Commercial Blvd Ste 212, Fort Lauderdale, FL 33308-4127 | 2018-10-26 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1396269007 | Vip Physicians Consulting LLC | Family Medicine | 500 Se 17th St Ste 301, Fort Lauderdale, FL 33316-2547 | 2017-08-03 |
| 1144593302 | Norman Pollock | Family Medicine | 3072 Ne 49th St, Fort Lauderdale, FL 33308-4915 | 2012-02-20 |
| 1558644690 | North Broward Hospital District | Family Medicine | 6333 N Federal Hwy Ste 225, Fort Lauderdale, FL 33308-1913 | 2011-09-26 |
| 1154613859 | Vi Song Tring | Family Medicine | 1339 Sw 3rd Ct, Fort Lauderdale, FL 33312 | 2011-05-12 |
| 1447567854 | Partners In Healthcare | Family Medicine | 1806 Nw 19th St, Fort Lauderdale, FL 33311-3535 | 2010-09-07 |
| 1124355250 | David Michael Paul | Family Medicine | 2020 Ne 48th Ct, Fort Lauderdale, FL 33308-4522 | 2009-11-10 |
| 1205160215 | Richard Allen Hill | Family Medicine | 1318 Se 17th St, Fort Lauderdale, FL 33316-1708 | 2009-09-23 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33301 |
Please comment or provide details below to improve the information on MAXIM MEDICAL CENTER PA.
| 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.