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Maxine Minto Md P.a.
Adolescent and Children Mental Health Clinic/Center in Lake Mary, Florida
NPI 1376828178

Maxine Minto Md P.a. is an Adolescent and Children Mental Health Clinic/Center based in Orlando, FL and is specialized in Adolescent and Children Mental Health. Maxine Minto Md P.a. practices in Lake Mary, FL. The NPI Number for Maxine Minto Md P.a. is 1376828178 and holds a License No. ME69898 (Florida).

The current practice location address for Maxine Minto Md P.a. is 1540 International Pkwy, Lake Mary, FL and can be reached out via phone at 407-536-5375 and via fax at 407-536-5301.

Location: 1540 International Pkwy, Lake Mary, FL, 32832-5898
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376828178
Provider Name
Maxine Minto Md P.a.
Credential
Provider Entity Type
Organization
Address
1540 International Pkwy, Lake Mary, FL, 32832-5898
Phone Number
407-536-5375
Fax Number
407-536-5301
Provider Enumeration Date
10/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1540 International Pkwy
City
Lake Mary
State
Florida
Zip
32746-4713
Phone Number
407-536-5375
Fax Number
407-536-5301
person
Provider Business Mailing Address Details
Address
1540 International Pkwy
City
Lake Mary
State
Florida
Zip
32746-4713
Phone Number
407-536-5375
Fax Number
407-536-5301
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
ME69898 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
ME69898 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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