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Organization
MAXICARE SELECT, INC.
Active
Organization
MAXICARE SELECT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA COOPER (PRESIDENT)
(954) 771-2399
Entity
Organization
Contact information
Practice address
8333 W. MCNAB RD #113, TAMARAC, FL 33321
(954) 771-2399
(954) 771-2491
Mailing address
8333 W. MCNAB RD. #113, TAMARAC, FL 33321
(954) 771-2399
(954) 771-2491
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
299991469
FL
251E00000X
Home Health Agency
Primary
299991555
FL
Other
Enumeration date
04/17/2007
Last updated
08/27/2015
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