Organization
MAXIMUS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS SANCHEZ (EXECUTIVE VP OF MARKETING)
(786) 256-3264
Entity
Organization
Contact information
Practice address
777 NW 72ND AVE STE 3162, MIAMI, FL 33126-3191
(786) 256-3264
Mailing address
11780 SW 30TH ST, MIAMI, FL 33175-2303
(786) 256-3264
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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