Michael Gordon Maxwell in Jacksonville - Emergency Medicine

Michael Gordon Maxwell - NPI 1205823267

Michael Gordon Maxwell is a Emergency Medicine in Jacksonville, Florida. Michael Gordon Maxwell practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Michael Gordon Maxwell is 1205823267. The last update date is 2007-07-08.

Michael Gordon Maxwell's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Michael Gordon Maxwell is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Gordon Maxwell
Address 4500 San Pablo Rd S, Jacksonville, Florida
Phone Number 9049532000
Fax Number
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1205823267
Provider Enumeration Date 2005-10-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4500 San Pablo Rd S
City Jacksonville
State Florida (FL)
Post Code 322241865
Phone Number 9049532000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No ME34417
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15572 FL BLUECROSS/BLUESHIELD

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FAQs about Michael Gordon Maxwell

What is the unique 10-digit identifier code assigned to Michael Gordon Maxwell by the Centers for Medicare & Medicaid Services?

The Michael Gordon Maxwell has been issued the NPI (National Provider Identifier) 1205823267 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Michael Gordon Maxwell is physically located?

The Michael Gordon Maxwell is physically situated at the following address: 4500 San Pablo Rd S, Jacksonville, FL, 322241865.

What is Michael Gordon Maxwell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Michael Gordon Maxwell's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.

On what date did Michael Gordon Maxwell receive its 1205823267 assignment from the Centers for Medicare & Medicaid Services?

The Michael Gordon Maxwell was assigned its 1205823267 on 2005-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Michael Gordon Maxwell last refreshed?

The information related to the Michael Gordon Maxwell, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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