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Maxwell Costa Tague, MD
Student in an Organized Health Care Education/Training Program in Hudson, Florida
NPI 1932859873

Maxwell Costa Tague is a Student in an Organized Health Care Education/Training Program based in Hudson, FL. Maxwell Costa Tague practices in Hudson, FL and has the professional credentials of MD. The NPI Number for Maxwell Costa Tague is 1932859873 and holds a License No. (Florida).

The current practice location address for Maxwell Costa Tague is 14000 Fivay Road, Hudson, FL and can be reached out via phone at 727-819-2966.

Location: 14000 Fivay Road, Hudson, FL, 34667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932859873
Provider Name
Maxwell Costa Tague
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14000 Fivay Road, Hudson, FL, 34667
Phone Number
727-819-2966
Fax Number
Provider Enumeration Date
03/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14000 Fivay Road
City
Hudson
State
Florida
Zip
34667
Phone Number
727-819-2966
Fax Number
person
Provider Business Mailing Address Details
Address
14000 Fivay Road
City
Hudson
State
Florida
Zip
34667
Phone Number
727-819-2966
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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