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Next Update: Saturday, December 21, 2024 12:00 PM CST
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MAXWELL, MICHAEL WAYNE
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
108 DOLPHIN COVE ESTATES
FREEPORT FL 32439
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| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
16707 |
| Dated: |
11/10/1988 |
| Expires: |
12/31/1994 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Emergency Medicine |
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| Status: |
Inactive |
| Status Class: |
Special License |
| Restricted to: |
CONTRACTUAL AGREEMENT WITH DOD |
| Registered to Dispense: |
NO |
| Medical School: |
U of Miami L M Miller, SOM, Miami, FL 33101 |
| Graduated: |
6 /
1972 |
| CME Year: |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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