David Joel Malis in Melbourne - Pediatric Otolaryngology

David Joel Malis - NPI 1649242538

David Joel Malis is a Pediatric Otolaryngology in Melbourne, Florida. David Joel Malis practices all healthcare services and medical treatments related to Pediatric Otolaryngology. The NPI Number for David Joel Malis is 1649242538. The last update date is 2011-09-15.

David Joel Malis's current location address is 1499 S Harbor City Blvd, Melbourne, Florida. You can contact this provider via phone number 3212545437 and fax number 3212544543. The mailing address for David Joel Malis is 1499 S Harbor City Blvd, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name David Joel Malis
Address 1499 S Harbor City Blvd, Melbourne, Florida
Phone Number 3212545437
Fax Number 3212544543
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1649242538
Provider Enumeration Date 2006-02-03
Last Updated Date 2011-09-15

Provider Mailing Address Detail

Address 1499 S Harbor City Blvd
City Melbourne
State Florida (FL)
Post Code 329013245
Phone Number 3212545437
Fax Number 3212544543

Provider's Primary Taxonomy Detail

Speciality Pediatric Otolaryngology
Taxonomy 207Yp0228X
Licence No ME90348
Definition:
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2067385 FL CIGNA
G98130 FL TRICARE SOUTH (HUMANA)
2258392 FL MEDICAID HMO - UNITED HEALTH C
332181 FL MEDICAID HMO - WELLCARE
48443 FL BCBS
1269821 FL MEDICAID HMO - AMERIGROUP
271247400 FL --
6774268 FL AETNA

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FAQs about David Joel Malis

What is the unique 10-digit identification code assigned to David Joel Malis by the Centers for Medicare & Medicaid Services?

The David Joel Malis has been issued the NPI (National Provider Identifier) 1649242538, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where David Joel Malis is physically located?

The David Joel Malis is physically situated at the following address: 1499 S Harbor City Blvd, Melbourne, FL, 329013245.

What is David Joel Malis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for David Joel Malis is Pediatric Otolaryngology, and the taxonomy code that categorizes this field of expertise is 207Yp0228X.

On what date did the David Joel Malis receive its 1649242538 assignment from the Centers for Medicare & Medicaid Services?

The David Joel Malis was assigned its 1649242538 by the Centers for Medicare & Medicaid Services on 2006-02-03.

As of what date was the information pertaining to David Joel Malis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to David Joel Malis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-09-15.

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