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Maxider Corporation

Sports Physical Therapist in Venice, FL · enumerated 2007 · authorized official Pablo Derboghossian, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780712539

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Registry record

Entity type Organization (Type 2)
Legal business name Maxider Corporation
Other name <Unavail>
Practice address 389 Commercial Court, Suite C, Venice, FL, 34292
Phone (941) 488-6600
Enumeration date Mar 2, 2007
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT13467 (FL) Secondary
2251G0304X Geriatric Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT13467 (FL) Secondary
2251S0007X Sports Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT13467 (FL) Primary
2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT13467 (FL) Secondary

Authorized official

Name Pablo Derboghossian
Title President
Phone (941) 488-6600

Other identifiers

Identifier Type State Issuer
7042130 Other FL AETNA NUMBER
CG9065 Other FL RR MEDICARE
Y903S Other FL BLUE CROSS NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.
Where is Maxider Corporation located?
The practice location on file with NPPES is in Venice, FL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.