# FREDERICK MALIBIRAN DO PA

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

## Provider details

- **NPI number:** 1598940561
- **Authorized official:** FREDERICK MALIBIRAN D.O. (PRESIDENT/OWNER)
- **Authorized official phone:** (813) 988-1984

## Contact information

- **Practice address:** 13250 N 56TH ST, SUITE \#101, TAMPA, FL 33617-1107
- **Practice address phone:** (813) 988-1984
- **Mailing address:** PO BOX 262616, TAMPA, FL 33685-2616
- **Mailing address phone:** (813) 988-1984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS7689 | FL | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 07/03/2008