Individual provider · NPI-1

Peaches E Levy-Maxwell, APRN

Nurse Practitioner · Lakeland, FL

NPI number1649039736
StatusActive
Last updated in NPPESJan 19, 2026

Details

NPI
1649039736
Entity type
Individual (NPI-1)
Name
Peaches E Levy-Maxwell
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 19, 2024
Certification date
Jan 19, 2026
Last updated
Jan 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAPRN11031544FLYes
163WG0000X Registered Nurse, General Practice11031544FL

Practice location

4729 Us Highway 98 S
Lakeland, FL 33812-4323

Phone 863-284-6809 · Fax 863-284-6810

Mailing address

1324 Lakeland Hills Blvd
Attn: Managed Care
Lakeland, FL 33805-4543

Phone 863-687-1100

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