Maxvax LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MAXVAX LLC

Practice address

1028 E Silver Spring Blvd
Suite 100
Ocala, FL 34470

Phone

(205) 609-0268

Fax

(866) 737-9625

NPI assigned

May 15, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Liberty Duke

Title

President

Phone

(334) 220-2484

Specialties & licenses 1

Addresses

Other names 1

• Health Heroes of Florida Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noorjahan Ali, MD

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1679888580
  Medicare reassignment NPD
• Elizabeth G. Bagan, ARNP, NP-C, ENP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1225560691
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1508488263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 PRAIRIE STREET NORTH",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360891417",
            "telephone_number": "205-609-0268",
            "fax_number": "866-737-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 E SILVER SPRING BLVD",
            "address_2": "SUITE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34470",
            "telephone_number": "205-609-0268",
            "fax_number": "866-737-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXVAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2024-06-10",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "LIBERTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-220-2484",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Heroes of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ashley Mauch
• Jaya Mavani
• Tushar Mavani
• Adrienne A Maximin
• Maximum Care Service LLC
• Andrea Maxwell, BCBA
• Christopher Maxwell, BCBA
• Terri Lynne May, L.M.T.
• Annette Maybaum
• Nina Mayes, BC-HIS

• Pediatrics Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.