Provider Demographics
NPI:1093567356
Name:PAUL, MAX (DC)
Entity Type:Individual
Prefix:DR
First Name:MAX
Middle Name:
Last Name:PAUL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 SAPPHIRE PALLADIUM DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-5060
Mailing Address - Country:US
Mailing Address - Phone:610-955-5784
Mailing Address - Fax:
Practice Address - Street 1:2600 QUANTUM BLVD STE 2B
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8627
Practice Address - Country:US
Practice Address - Phone:610-955-5784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14991111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor