Healthcare Provider Details

I. General information

NPI: 1184361545
Provider Name (Legal Business Name): MAXCURE THERAPY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2022
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9019 PINES BLVD
PEMBROKE PINES FL
33024-6440
US

IV. Provider business mailing address

9019 PINES BLVD
PEMBROKE PINES FL
33024-6440
US

V. Phone/Fax

Practice location:
  • Phone: 954-417-8003
  • Fax: 954-510-9610
Mailing address:
  • Phone: 954-417-8003
  • Fax: 954-510-9610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: YINET RODRIGUEZ LEZCANO
Title or Position: MANAGER
Credential:
Phone: 954-417-8003