Maxwell, Tangely
Maxwell, Tangely is an sole proprietor health care provider with primary practice located at 13 Monroe Creek Dr , Midway FL 32343-2212. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Maxwell, Tangely can be contacted via phone (850) 570-6551.Contact Information
Primary practice address
13 Monroe Creek Dr
Midway FL 32343-2212
Phone: (850) 570-6551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | Florida |
Profile Details
| NPI number | 1306320767 |
|---|---|
| LBN Legal business name | Maxwell, Tangely |
| Credentials | COMMUNITY BASED |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2018 |
| Last updated | Sep 21st, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306320767 | NPPES |
| Florida | MEDICAID | 021165900 |
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