Most Relevant Information
Provider Data
| NPI Number: | 1003668146 |
| Provider Name: | EDITH MAXCEANT |
| Entity Type: | Individual |
| Taxonomy Code: | 373H00000X |
| Specialty: | Day Training/Habilitation Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2024 |
| Last Updated: | 04/02/2024 |
Provider Practice Location
2678 LAKE ST
ORLANDO
FL
328189001
Practice Location Phone/Fax
| Phone: | 4074122121 |
| Fax: |
Provider Mailing Location
2678 LAKE ST
ORLANDO
FL
328189001
Provider Mailing Phone/Fax
| Phone: | 4074122121 |
| Fax: |