DAVID M MAX PHD PA (NPI# 1053646018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053646018 |
Entity Type | Organization |
Organization Name | DAVID M MAX PHD PA |
Practice Address |
350 Nw 70th Ave Plantation FL 33317-2349 |
Mailing Address |
Po Box 15231 Plantation FL 33318-5231 |
Practice Telephone | 9544725933 |
Practice Fax Number | 9545877527 |
Mailing Telephone | 9544725933 |
Mailing Fax Number | 9545877527 |
Enumeration Date | 2009-10-08 |
Last Update Date | 2009-10-08 |
Authorized Official Name | DR. DAVID MARTIN MAX (PRESIDENT) |
Authorized Official Telephone | 9544725933 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY3285 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE | 75474 | 01 |
FL | 7685319-00 | 05 |
Street Address |
350 NW 70TH AVE |
City | PLANTATION |
State | FL |
Zip Code | 33317-2349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699756635 | Mitchell E Spero | Psychologist | 350 Nw 70th Ave, Ste A, Plantation, FL 33317-2349 | 2005-11-08 |
1114218898 | Martin S Laser | Social Worker | 350 Nw 70th Ave, Suite A, Plantation, FL 33317-2349 | 2011-04-28 |
1578861142 | Laurie Elizabeth Philipson | Counselor | 350 Nw 70th Ave, Suite A, Plantation, FL 33317-2349 | 2011-03-07 |
1467755918 | Janet Reilly Markowitz | Social Worker | 350 Nw 70th Ave, Suite A, Plantation, FL 33317-2349 | 2010-12-06 |
1528380359 | Nelson Luis Matos | Social Worker | 350 Nw 70th Ave, Plantation, FL 33317-2349 | 2010-02-21 |
1720310998 | Deborah Ann Thompson | Social Worker | 350 Nw 70th Ave, Suite A, Plantation, FL 33317-2349 | 2010-02-12 |
1609002062 | Jennifer Paige Mathis-fisher | Counselor | 350 Nw 70th Ave, Plantation, FL 33317-2349 | 2009-05-29 |
1285883967 | Kevin O'keefe | Psychologist | 350 Nw 70th Ave, Suite A, Plantation, FL 33317-2349 | 2008-09-17 |
1326213489 | Diana Patricia Sullivan | Counselor | 350 Nw 70th Ave, Suite A, Plantation, FL 33317-2349 | 2008-04-29 |
1649478421 | Patricia Ann Harris | Marriage & Family Therapist | 350 Nw 70th Ave, Suite A Child & Family Psychologists, Plantation, FL 33331-2349 | 2007-07-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
Find all providers in zip 33317 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
1689213613 | Tyler Elizabeth Hernandez | Psychologist | 7501 Nw 4th St Ste 215, Plantation, FL 33317-2238 | 2019-12-20 |
1043771884 | Galen Chun | Psychologist | 300 S Pine Island Rd Ste 263, Plantation, FL 33324-2633 | 2019-03-26 |
1699253971 | Dyona Augustin | Psychologist | 300 S Pine Island Rd Ste 251, Plantation, FL 33324-2633 | 2018-07-30 |
1639605058 | Scott Rosiere | Psychologist | 480 West Mount Vernon Drive, Plantation, FL 33325 | 2017-05-04 |
1265873202 | Elizabeth Carol Webster | Psychologist | 4129 Sw 1st Ct, Plantation, Plantation, FL 33317-3765 | 2013-07-06 |
1689962912 | Charnette Munroe Munroe | Psychologist | 6661 Nw 4th Ct, Plantation, FL 33317-2457 | 2011-07-20 |
1033380837 | Helene Schwartz-cohen | Psychologist | 7890 Peters Rd, Suite G-107, Plantation, FL 33324-4028 | 2008-03-19 |
1518162569 | Ted Allen Williams | Psychologist | 410 Nw 74 Ave., Plantation, FL 33317-1618 | 2007-06-19 |
1184849614 | Frank B Roselione | Psychologist | 274 S University Dr, Plantation, FL 33324-3340 | 2007-04-17 |
Find all providers in PLANTATION |
City | PLANTATION |
Zip Code | 33317 |
Please comment or provide details below to improve the information on DAVID M MAX PHD PA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.