Active NPI 1306320767 Individual Practitioner Female Practitioner

Tangely Maxwell , COMMUNITY BASED

Clinic/Center - Developmental Disabilities • Midway, FL

Professional Overview & Biography Verified Profile Summary

Tangely Maxwell, COMMUNITY BASED is a registered healthcare professional specializing in Clinic/Center - Developmental Disabilities in Midway, FL. Practice services are available at 13 MONROE CREEK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13 Monroe Creek Dr

Midway, FL 323432212

Telephone 8505706551

Associated Practice Facility / Clinic

🏢 Dream Family Home Care, Llc Facility NPI 1700740156

Specialty Benchmarks & Practice Insights

Comparative analytics for Clinic/Center - Developmental Disabilities in Midway, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Midway, FL (340 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Clinic/Center - Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 261QD1600X

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.).

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

021165900 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 21, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2018

Registered at 13 MONROE CREEK DR, MIDWAY, FL 323432212 (Tel: 8505706551)

📍

Updated Business Mailing Address September 21, 2018

Registered at 13 MONROE CREEK DR, MIDWAY, FL 323432212 (Tel: 8505706551)

👤

Provider Name / Credentials Updated September 21, 2018

Recorded as TANGELY MAXWELL, COMMUNITY BASED

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2018

Clinic/Center

🟢

Initial NPI Registration & Enumeration September 21, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306320767

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 21, 2018

Last Update: September 21, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

13 Monroe Creek Dr

Midway, FL 323432212

Phone: 8505706551

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.