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NPI Code Detail

MEDICARE: DANIEL & MAX, LLC

MEDICARE: DANIEL & MAX, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1033051057
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANIEL & MAX, LLC
Provider Business Mailing Address
First Line : 1615 S CONGRESS AVE STE 105
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-6326
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1290 LAKE CITY HWY
Second Line :
City : WARSAW
State : IN
Zip : 46580-1837
Country : US
Telephone Number : 574-268-0097
Fax Number : 574-268-0127
Authorized Official
Title or Position : MANAGED CARE MANAGER
Name : ALISHA JACKSON
Credential :
Telephone Number : 561-208-1591
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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