Healthcare Provider Details

I. General information

NPI: 1336088327
Provider Name (Legal Business Name): MAXWELL ALEXANDER MANNING
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HCA FLORIDA BRANDON HOSPITAL, GME, 119 OAKFIELD DR., BRANDON FL
TAMPA FL
33155
US

IV. Provider business mailing address

HCA FLORIDA BRANDON HOSPITAL, GME, 119 OAKFIELD DR., BRANDON FLORIDA
TAMPA FL
33511
US

V. Phone/Fax

Practice location:
  • Phone: 813-295-4447
  • Fax:
Mailing address:
  • Phone: 813-295-4447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: