Maxider Corporation in Venice - Physical Therapist
Maxider Corporation - NPI 1780712539
Maxider Corporation is a Physical Therapist in Venice, Florida. Maxider Corporation practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Maxider Corporation is 1780712539. The last update date is 2020-08-22.
Maxider Corporation's current location address is 389 Commercial Court, Venice, Florida. You can contact this provider via phone number 9414886600. The mailing address for Maxider Corporation is 389 Commercial Court, Venice, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maxider Corporation |
|---|---|
| Address | 389 Commercial Court, Venice, Florida |
| Phone Number | 9414886600 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Derboghossian Edgardo Pablo |
| Telephone Number | 9414886600 |
NPI Number Detail
| NPI Number | 1780712539 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 389 Commercial Court |
|---|---|
| City | Venice |
| State | Florida (FL) |
| Post Code | 34292 |
| Phone Number | 9414886600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT13467 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7042130 | FL | AETNA NUMBER | |
| CG9065 | FL | RR MEDICARE | |
| Y903S | FL | BLUE CROSS NUMBER |
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What is the unique 10-digit identifier code issued to Maxider Corporation by the Centers for Medicare & Medicaid Services?
The Maxider Corporation has been assigned the NPI (National Provider Identifier) 1780712539 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Maxider Corporation?
The Maxider Corporation is physically situated at 389 Commercial Court, in the city of Venice, state of FL, with the postal code 34292.
What is Maxider Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Maxider Corporation's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date did the Maxider Corporation receive the assignment of its 1780712539 from the Centers for Medicare & Medicaid Services?
The Maxider Corporation was issued its 1780712539 by the Centers for Medicare & Medicaid Services on 2007-03-02.
When was the information regarding Maxider Corporation most recently updated?
The details pertaining to the Maxider Corporation, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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