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Organization
MAXIM MEDICAL CENTER PA
Active
Organization
MAXIM MEDICAL CENTER PA
Active
Other names
Maxim Medical Center Pa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXIM CHUMAK MD (PRESIDENT/ OWNER)
(832) 623-2002
Entity
Organization
Contact information
Practice address
551 N FEDERAL HWY, SUITE 800, FORT LAUDERDALE, FL 33301-2559
(832) 623-2002
Mailing address
551 N FEDERAL HWY, SUITE 800, FORT LAUDERDALE, FL 33301-2559
(832) 623-2002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009449300
—
FL
Enumeration date
07/19/2016
Last updated
07/19/2016
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