Irene Elaine Malesic in Jacksonville - Pediatrics

Irene Elaine Malesic - NPI 1972609345

Irene Elaine Malesic is a Pediatrics in Jacksonville, Florida. Irene Elaine Malesic practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Irene Elaine Malesic is 1972609345. The last update date is 2007-07-08.

Irene Elaine Malesic's current location address is 12412 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9042924755 and fax number 9042929243. The mailing address for Irene Elaine Malesic is 12412 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Irene Elaine Malesic
Address 12412 San Jose Blvd, Jacksonville, Florida
Phone Number 9042924755
Fax Number 9042929243
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1972609345
Provider Enumeration Date 2006-09-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12412 San Jose Blvd
City Jacksonville
State Florida (FL)
Post Code 322238620
Phone Number 9042924755
Fax Number 9042929243

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 36753
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15570 FL BCBS

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FAQs about Irene Elaine Malesic

What is the unique 10-digit identification code assigned to Irene Elaine Malesic by the Centers for Medicare & Medicaid Services?

The Irene Elaine Malesic has been issued the NPI (National Provider Identifier) 1972609345, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Irene Elaine Malesic is geographically located?

The Irene Elaine Malesic is physically situated at the following location: 12412 San Jose Blvd, Jacksonville, FL, 322238620.

What is Irene Elaine Malesic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Irene Elaine Malesic is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Irene Elaine Malesic receive its 1972609345 assignment from the Centers for Medicare & Medicaid Services?

The Irene Elaine Malesic was assigned its 1972609345 by the Centers for Medicare & Medicaid Services on 2006-09-15.

When was the information regarding Irene Elaine Malesic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Irene Elaine Malesic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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