Maxim Medical Center PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAXIM MEDICAL CENTER PA

Practice address

551 N Federal Hwy
Suite 800
Fort Lauderdale, FL 33301-2559

Phone

(832) 623-2002

NPI assigned

Jul 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Maxim Chumak, MD

Title

President/ Owner

Phone

(832) 623-2002

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Maxim Medical Center Pa Doing business as

Locations

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1861845463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N FEDERAL HWY",
            "address_2": "SUITE 800",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012559",
            "telephone_number": "832-623-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N FEDERAL HWY",
            "address_2": "SUITE 800",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012559",
            "telephone_number": "832-623-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "CHUMAK",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "832-623-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009449300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maxim Medical Center Pa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cinthia S Maupin, LCSW
• Mawji O.D., LLC
• Shirin Mawji-Ali, OD
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maximum Fitness
• Maxine E Hamilton Mdpa
• Yolande Maxius
• Cristiane May
• Krystle Maycock

• Family Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.