Provider Demographics
NPI:1033293824
Name:MAXSON, WAYNE SWARTLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:SWARTLEY
Last Name:MAXSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2960 N STATE ROAD 7
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5755
Mailing Address - Country:US
Mailing Address - Phone:954-247-6200
Mailing Address - Fax:954-247-6288
Practice Address - Street 1:2960 N STATE ROAD 7
Practice Address - Street 2:SUITE 300
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5755
Practice Address - Country:US
Practice Address - Phone:954-247-6200
Practice Address - Fax:954-247-6288
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME48572207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL62-1725845OtherEIN
FLC36463Medicare UPIN