Provider Demographics
NPI:1841640851
Name:MAXIMUS CARE SERVICES INC
Entity type:Organization
Organization Name:MAXIMUS CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PWNER
Authorized Official - Prefix:
Authorized Official - First Name:MILKO
Authorized Official - Middle Name:RESTITUTO
Authorized Official - Last Name:MORIYON
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:305-910-7011
Mailing Address - Street 1:764 NW 126TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-2089
Mailing Address - Country:US
Mailing Address - Phone:305-910-7011
Mailing Address - Fax:
Practice Address - Street 1:764 NW 126TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-2089
Practice Address - Country:US
Practice Address - Phone:305-910-7011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty