Individual provider · Type 1 NPI

Tangely Maxwell, COMMUNITY BASED

Developmental Disabilities Clinic/Center · Midway, FL

NPI number 1306320767 Active

Practice location

13 Monroe Creek Dr
Midway, FL 32343-2212

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: 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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About NPI 1306320767

Tangely Maxwell, COMMUNITY BASED's National Provider Identifier is 1306320767, issued on Sep 21, 2018. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Midway, FL. The record was last updated on Sep 21, 2018.