Individual
JUDITH MAXY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7406 FULLERTON ST STE 200, JACKSONVILLE, FL 32256-3597
(904) 538-0440
Mailing address
18640 NW 2ND AVE, MIAMI, FL 33269-7115
(786) 399-2902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9419064
FL
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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