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Organization
DONNA MALKOVICH APRN LLC
Active
Organization
DONNA MALKOVICH APRN LLC
Active
Parent organization
DONNA MALKOVICH APRN LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DONNA MALKOVICH APRN LLC
Authorized official
MRS. DONNA ZVEZDANA MALKOVICH APRN (APRN/ OWNER)
(727) 688-9968
Entity
Organization
Contact information
Practice address
11125 PARK BLVD STE 118, SEMINOLE, FL 33772-4700
(727) 688-9968
Mailing address
11925 MANDARIN CT, SEMINOLE, FL 33772-3435
(727) 688-9968
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
08/02/2021
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