Organization
DANIEL & MAX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA JACKSON (MANAGED CARE MANAGER)
(561) 208-1591
Entity
Organization
Contact information
Practice address
130 S GARY AVE, BLOOMINGDALE, IL 60108-2243
(630) 893-0576
(630) 893-0598
Mailing address
1615 S CONGRESS AVE STE 105, DELRAY BEACH, FL 33445-6326
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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