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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ERIC SHANE MAXWELL

Active Sole Proprietor

MR. ERIC SHANE MAXWELL is a Podiatric Surgery healthcare provider located in DAYTONA BEACH, Florida. NPI 1083077622 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · DAYTONA BEACH, FL

Registration Details

NPI Number
1083077622
Provider Type
Individual
Gender
Male
NPI Issued
Mar 31, 2016 (10.39754904896 yrs)
Last Updated
Mar 31, 2016
Sole Proprietor
Yes

Practice Information

Address
565 BERKSHIRE RD
DAYTONA BEACH, FL, 321142439
Browse FL providers · Browse ZIP 32114
Phone
3862553418
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in DAYTONA BEACH, FL

Name Credential NPI
MRS. LOUVINA HODGES-FLOWERS 1295370773
MYRA ANN GERCKEN-THURSTON 1548966294
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.