Provider Demographics
NPI:1699127043
Name:MAXMATH TUTORING ONLINE INC., FL BRANCH
Entity type:Organization
Organization Name:MAXMATH TUTORING ONLINE INC., FL BRANCH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:MAXCENE
Authorized Official - Last Name:DECARDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-895-9415
Mailing Address - Street 1:2105 HARTWOOD MARSH RD STE 7
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-5390
Mailing Address - Country:US
Mailing Address - Phone:888-959-4159
Mailing Address - Fax:888-959-4173
Practice Address - Street 1:2105 HARTWOOD MARSH RD STE 7
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-5390
Practice Address - Country:US
Practice Address - Phone:888-959-4159
Practice Address - Fax:888-959-4173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLG16000023352251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health