Chang, Maxine D

Chang, Maxine D is an individual health care provider with primary practice located at 6420 W Newberry Rd Ste 100 , Gainesville FL 32605-6622. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Chang, Maxine D can be contacted via phone (352) 332-3900.

Contact Information

Primary practice address
6420 W Newberry Rd Ste 100 Gainesville FL 32605-6622
Phone: (352) 332-3900
Fax: (352) 332-3900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN2896172 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2896172 Florida

Profile Details

NPI number 1912947235
LBN Legal business name Chang, Maxine D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 22nd, 2023 - 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 1912947235 NPPES
Florida MEDICAID 308163000

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