Organization
DAVID M MAX PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MARTIN MAX PHD (PRESIDENT)
(954) 472-5933
Entity
Organization
Contact information
Practice address
350 NW 70TH AVE, PLANTATION, FL 33317-2349
(954) 472-5933
(954) 587-7527
Mailing address
PO BOX 15231, PLANTATION, FL 33318-5231
(954) 472-5933
(954) 587-7527
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75474
MEDICARE
FL
05
—
7685319-00
—
FL
Enumeration date
10/08/2009
Last updated
10/08/2009
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