Max Health Wellness Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC11203 Issued in FL

Legal business name

MAX HEALTH WELLNESS CORP

Practice address

6105 Memorial Hwy Ste S
Tampa, FL 33615-4506

Phone

(813) 542-4228

Fax

(813) 542-4229

NPI assigned

Feb 20, 2018

Organization subpart

No

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

Authorized official

Name

Osmin Rivero Izquierdo

Title

Administrator

Phone

(813) 542-4228

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1952801581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 MEMORIAL HWY STE S",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154506",
            "telephone_number": "813-542-4228",
            "fax_number": "813-542-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 MEMORIAL HWY STE S",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154506",
            "telephone_number": "813-542-4228",
            "fax_number": "813-542-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX HEALTH WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "RIVERO IZQUIERDO",
        "authorized_official_first_name": "OSMIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-542-4228"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC11203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Mt Maurice, LMT
• Stephanie Maurici, RD
• Marian Elizabeth Maurin, P.T.
• Scott Maute, BCBA
• Monique Mavour
• Colleen S Maxcy, MD
• Alexis Maxfield
• Nathaniel Dole Maxfield, PHD
• Maxim Healthcare Services, Inc
• Maxim Healthcare Services, Inc.

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.