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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 : 1629816541
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 : 7225 W COLONIAL DR STE 110
Second Line :
City : ORLANDO
State : FL
Zip : 32818-6744
Country : US
Telephone Number : 877-350-3399
Fax Number :
Authorized Official
Title or Position : VP OF CLINICAL OPERATIONS
Name : BRAD BROCWELL
Credential :
Telephone Number : 561-244-8063
Provider Enumeration Date : 07/16/2024
Last Update Date : 07/16/2024

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Directions to “DANIEL & MAX, LLC ” Practice Location

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