Individual
IRENE ANDONIA C MALATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-5550
(352) 273-5575
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-5550
(352) 273-5575
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME100589
FL
2084N0400X
Neurology Physician
TRN7592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000107200
—
FL
Enumeration date
11/28/2006
Last updated
11/21/2011
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