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NPI Code Detail

MEDICARE: HEALTHMAX DOCTOR CARE AT HOME, LLC

MEDICARE: HEALTHMAX DOCTOR CARE AT HOME, 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
1302F00000XExclusive Provider OrganizationFL

General Provider Information

NPI Number : 1841634516
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHMAX DOCTOR CARE AT HOME, LLC
Provider Business Mailing Address
First Line : 1140 W 50TH ST STE 207
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3438
Country : US
Telephone Number : 305-825-0209
Fax Number : 305-825-0205
Provider Business Practice Location Address
First Line : 1140 W 50TH ST STE 207
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3438
Country : US
Telephone Number : 305-825-0209
Fax Number : 305-825-0205
Authorized Official
Title or Position : OWNER
Name : MILTON MORENO
Credential :
Telephone Number : 305-825-0209
Provider Enumeration Date : 04/24/2013
Last Update Date : 07/21/2022

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Directions to “HEALTHMAX DOCTOR CARE AT HOME, LLC ” Practice Location

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