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Active NPI 1417776220 Organization (Entity Type 2)

Daniel & Max, Llc

Eyewear Supplier • Saint Cloud, FL

About Daniel & Max, Llc NPI 1417776220 Summary

Daniel & Max, Llc is a verified healthcare organization specializing in Eyewear Supplier operating in Saint Cloud, FL. Located at 4475 13TH ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1417776220.

Administrative operations and authorized compliance are overseen by Alisha Jackson (Managed Care Manager).

Facility Location & Contact Primary Location

Facility Address

4475 13th St

Saint Cloud, FL 347696724

Telephone 8773503399

Authorized Official Information

Authorized Contact Name

Alisha Jackson

Title / Role

Managed Care Manager

Official Telephone

5612081591

Facility Classifications & Specialties

Eyewear Supplier Primary Taxonomy

NUCC Taxonomy Code: 332H00000X

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active October 08, 2024

NPI status registered as active in NPPES database

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Updated Practice Location October 08, 2024

Registered at 4475 13TH ST, SAINT CLOUD, FL 347696724 (Tel: 8773503399)

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Updated Business Mailing Address October 08, 2024

Registered at 1615 S CONGRESS AVE STE 105, DELRAY BEACH, FL 334456326

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Organization / Clinic Name Updated October 08, 2024

Operating as DANIEL & MAX, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2024

Eyewear Supplier

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Initial NPI Registration & Enumeration October 08, 2024

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1417776220
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 08, 2024
Last Update: October 08, 2024

Mailing Address

1615 S Congress Ave Ste 105

Delray Beach, FL 334456326

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.