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Organization
MEDIMAX HEALTHCARE SERVICES
Active
Organization
MEDIMAX HEALTHCARE SERVICES
Active
Other names
Medimax Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
LEIDY M. VAN NIEL (OWNER)
(786) 294-1470
Entity
Organization
Contact information
Practice address
9980 SW 218TH TER, CUTLER BAY, FL 33190-1162
(786) 294-1470
Mailing address
9980 SW 218TH TER, CUTLER BAY, FL 33190-1162
(786) 294-1470
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
06/25/2024
Last updated
02/01/2025
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