# WILLIAM M MALONE PA-C LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164604724
- **Authorized official:** MR. WILLIAM MARTIN MALONE PA C (DIRECTOR)
- **Authorized official phone:** (407) 782-2205

## Contact information

- **Practice address:** 601 E ALTAMONTE DR, ALTAMONTE SPRINGS, FL 32701-4802
- **Practice address phone:** (407) 303-4321
- **Mailing address:** PO BOX 950927, LAKE MARY, FL 32795-0927
- **Mailing address phone:** (407) 328-0825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | L07000110264 | FL | Yes |

## Other

- **Enumeration date:** 12/05/2007
- **Last updated:** 12/05/2007