| David M Max Phd Pa | |
|
350 Nw 70th Ave Plantation FL 33317-2349 | |
| (954) 472-5933 | |
| (954) 587-7527 |
| Full Name | David M Max Phd Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 350 Nw 70th Ave, Plantation, Florida |
| Authorized Official Name and Position | David Martin Max (PRESIDENT) |
| Authorized Official Contact | 9544725933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David M Max Phd Pa Po Box 15231 Plantation FL 33318-5231 Ph: (954) 472-5933 | David M Max Phd Pa 350 Nw 70th Ave Plantation FL 33317-2349 Ph: (954) 472-5933 |
| NPI Number | 1053646018 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 10/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053646018 | NPI | - | NPPES |
| 7685319-00 | Medicaid | FL | |
| 75474 | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY3285 (Florida) | Primary |
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