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Individual
DR. MARVIN DWIGHT MAXWELL
Active
Individual
DR. MARVIN DWIGHT MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME67256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259459500
—
FL
01
—
CJ8463
RAILROAD MEDICARE PTAN
FL
Enumeration date
07/25/2006
Last updated
02/05/2024
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