Organization
VANCE J MALONEY III MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANCE J MALONEY III MD (OWNER)
(407) 701-0012
Entity
Organization
Contact information
Practice address
1315 HICKORY DR, LONGWOOD, FL 32779-5844
(407) 701-0012
Mailing address
1315 HICKORY DR, LONGWOOD, FL 32779-5844
(407) 701-0012
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
24866
FL
Other
Enumeration date
12/01/2007
Last updated
11/16/2013
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