| Maxine Reeves Davis, | |
| 96 Sw Allapattah Rd, Indiantown, FL 34956-4307 | |
| (772) 597-9441 | |
| Not Available | 
| Full Name | Maxine Reeves Davis | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 96 Sw Allapattah Rd, Indiantown, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295478733 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9392831 (Florida) | Primary | 
| Entity Name | Mcr Health Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 | 
| Entity Name | Balanced Wellbeing Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1336513639 PECOS PAC ID: 5193021848 Enrollment ID: O20160307002587 | 
| Entity Name | Grow Healthcare Group Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 | 
| Entity Name | Mind-fully-yours Recovery & Wellness | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023844255 PECOS PAC ID: 6002344785 Enrollment ID: O20250108002505 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Maxine Reeves Davis, 977 Sw College Park Rd, Port Saint Lucie, FL 34953-5869 Ph: (305) 336-2162 | Maxine Reeves Davis, 96 Sw Allapattah Rd, Indiantown, FL 34956-4307 Ph: (772) 597-9441 | 
| Karen Ann Mercer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1150 Sw Allapattah Rd, Indiantown, FL 34956 Phone: 772-597-3705 | |
| Reginald J Sincere, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1150 Sw Allapattah Rd, Indiantown, FL 34956 Phone: 954-588-9241 | |
| Asha K Kornegay, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15858 Sw Warfield Blvd., Indiantown, FL 34956 Phone: 772-597-3596 Fax: 844-542-4898 | |
| Karen Deborah Smith, FNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15208 Sw Palm Oak Dr, Indiantown, FL 34956 Phone: 772-349-0544 | |
| Tisha Alecia Patten, NP-C, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1150 Sw Allapattah Rd, Indiantown, FL 34956 Phone: 772-597-0000 |