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Individual

DR. ADAM MAXWELL AU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO. MD. PHD.FACOI

Contact information

Practice address
2040 NE 163RD ST STE 204, NORTH MIAMI BEACH, FL 33162-4953
(305) 720-4004
(305) 675-8491
Mailing address
2040 NE 163RD ST STE 204, NORTH MIAMI BEACH, FL 33162-4953
(305) 720-4004
(305) 675-8491

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS11940
FL
207RI0200X
Infectious Disease Physician
OS11940
FL
261QM1300X
Multi-Specialty Clinic/Center
OS11940
FL
261QP2300X
Primary Care Clinic/Center
OS11940
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100892400
FL
Enumeration date
07/12/2011
Last updated
12/30/2025
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