| Maxim Healthcare Services, Inc | |
|
7775 Baymeadows Way Ste 200 Jacksonville FL 32256-7531 | |
| (904) 396-2199 | |
| Not Available |
| Full Name | Maxim Healthcare Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7775 Baymeadows Way Ste 200, Jacksonville, Florida |
| Authorized Official Name and Position | David Kowalczyk (CONTROLLER) |
| Authorized Official Contact | 4109101500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxim Healthcare Services, Inc 7227 Lee Deforest Dr Columbia MD 21046-3236 Ph: (410) 910-1500 | Maxim Healthcare Services, Inc 7775 Baymeadows Way Ste 200 Jacksonville FL 32256-7531 Ph: (904) 396-2199 |
| NPI Number | 1134795750 |
|---|---|
| Provider Enumeration Date | 06/03/2021 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134795750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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