# SMITA MALHOTRA

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

## Provider details

- **NPI number:** 1659540102
- **Authorized official:** SMITA MALHOTRA (PRESIDENT/OWNER)
- **Authorized official phone:** (904) 821-8829

## Contact information

- **Practice address:** 1650 SAN PABLO RD S, STE 2, JACKSONVILLE, FL 32224-1036
- **Practice address phone:** (904) 821-8829
- **Practice address fax:** (904) 821-8830
- **Mailing address:** 1650 SAN PABLO RD S, STE 2, JACKSONVILLE, FL 32224-1036
- **Mailing address phone:** (904) 821-8829
- **Mailing address fax:** (904) 821-8830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/28/2008
- **Last updated:** 06/19/2008