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Ms. Tangely Maxwell, COMMUNITYBASED
Developmental Disabilities Clinic/Center in Midway, Florida
NPI 1306320767

Tangely Maxwell is a Developmental Disabilities Clinic/Center based in Midway, FL and is specialized in Developmental Disabilities. Tangely Maxwell practices in Midway, FL and has the professional credentials of COMMUNITYBASED. The NPI Number for Tangely Maxwell is 1306320767 and holds a License No. (Florida).

The current practice location address for Tangely Maxwell is 13 Monroe Creek Dr, Midway, FL and can be reached out via phone at 850-570-6551.

Location: 13 Monroe Creek Dr, Midway, FL, 32343-2212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306320767
Provider Name
Tangely Maxwell
Credential
COMMUNITYBASED
Provider Entity Type
Individual
Gender
Female
Address
13 Monroe Creek Dr, Midway, FL, 32343-2212
Phone Number
850-570-6551
Fax Number
Provider Enumeration Date
09/21/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
021165900 05 FL
institution
Provider Business Practice Location Address Details
Address
13 Monroe Creek Dr
City
Midway
State
Florida
Zip
32343-2212
Phone Number
850-570-6551
Fax Number
person
Provider Business Mailing Address Details
Address
13 Monroe Creek Dr
City
Midway
State
Florida
Zip
32343-2212
Phone Number
850-570-6551
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
(Florida)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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