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Individual
DAVID JOEL MALIS
Active
Individual
DAVID JOEL MALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME90348
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
ME90348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01269821
MEDICAID HMO - AMERIGROUP
FL
01
—
2067385
CIGNA
FL
01
—
2258392
MEDICAID HMO - UNITED HEALTH CARE
FL
05
—
271247400
—
FL
01
—
332181
MEDICAID HMO - WELLCARE
FL
01
—
48443
BCBS
FL
01
—
6774268
AETNA
FL
01
—
G98130
TRICARE SOUTH (HUMANA)
FL
Enumeration date
02/03/2006
Last updated
09/15/2011
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