Healthcare Provider Details

I. General information

NPI: 1104449065
Provider Name (Legal Business Name): MAX EVERETT CHASON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2020
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 N MILITARY TRL STE 201
BOCA RATON FL
33431-6308
US

IV. Provider business mailing address

1500 N UNIVERSITY DR STE 101
CORAL SPRINGS FL
33071-6071
US

V. Phone/Fax

Practice location:
  • Phone: 954-458-1199
  • Fax:
Mailing address:
  • Phone: 954-458-1199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME173290
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME173290
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME173290
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: