Individual
KELLY DAVID MALPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
720 W OAK ST STE 303, KISSIMMEE, FL 34741-4992
(407) 520-3947
Mailing address
770 SPLIT HOOF DR, SAINT CLOUD, FL 34771-9186
(407) 758-4408
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PAT9108159
FL
Other
Enumeration date
09/24/2014
Last updated
12/18/2023
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