Individual
MAXINE JEMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7551 BLACK OLIVE WAY, TAMARAC, FL 33321-2711
(954) 684-5358
Mailing address
7551 BLACK OLIVE WAY, TAMARAC, FL 33321-2711
(954) 684-5358
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
14055
FL
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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