Mondestin, Max Allen

Mondestin, Max Allen is an individual health care provider with primary practice located at 180 John F Kennedy Dr Ste 100 , Atlantis FL 33462-6641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mondestin, Max Allen can be contacted via phone (561) 967-6500.

Contact Information

Primary practice address
180 John F Kennedy Dr Ste 100 Atlantis FL 33462-6641
Phone: (561) 967-6500
Fax: (561) 433-4175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME150173 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D83420 Maryland

Profile Details

NPI number 1902197973
LBN Legal business name Mondestin, Max Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2011
Last updated Apr 15th, 2022 - about 3 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 1902197973 NPPES
Maryland MEDICAID 123508700
Maryland Other ME150173

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