Organization
CLAUDIA R MALLETTE DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDIA R. MALLETTE DPM (PRESIDENT)
(321) 795-2793
Entity
Organization
Contact information
Practice address
1555 W NASA BLVD, MELBOURNE, FL 32901-2640
(321) 728-0117
(321) 728-0151
Mailing address
1555 W NASA BLVD, MELBOURNE, FL 32901-2640
(321) 728-0117
(321) 728-0151
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 2629
FL
Other
Enumeration date
04/30/2009
Last updated
10/22/2009
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