Maxwell, Damian

Maxwell, Damian is an individual health care provider with primary practice located at 16230 Summerlin Rd Ste 215 , Fort Myers FL 33908-5769. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Maxwell, Damian can be contacted via phone (239) 343-6050.

Contact Information

Primary practice address
16230 Summerlin Rd Ste 215 Fort Myers FL 33908-5769
Phone: (239) 343-6050
Fax: (239) 343-9909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22268 West Virginia
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X ME129852 Florida

Profile Details

NPI number 1235146481
LBN Legal business name Maxwell, Damian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Mar 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235146481 NPPES
West Virginia Other P00358613 RAILROAD MEDICARE
West Virginia MEDICAID 3810006087 RAILROAD MEDICARE
West Virginia MEDICAID 020940500 RAILROAD MEDICARE

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