Maxider Corporation

NPI #1780712539 in Venice, Florida

Provider Information

NPI Number: 1780712539
Entity Type: Organization
Organization Name: Maxider Corporation
Primary Specialty: Physical Therapist - Sports
Enumeration Date: Mar 2, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 389 COMMERCIAL COURT
Address 2: SUITE C
City: Venice
State: Florida
ZIP Code: 34292
Phone: (941) 488-6600

Authorized Official

Name: MR. PABLO EDGARDO DERBOGHOSSIAN
Title: PRESIDENT
Phone: (941) 488-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Physical Therapist - Geriatrics — Geriatrics	2251G0304X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Physical Therapist - Sports — Sports	2251S0007X	Primary

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