Individual
FREDERICK MALIBIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2020 TOWN CENTER BLVD, SUITE B, BRANDON, FL 33511-2906
(813) 315-1500
(813) 377-1686
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007922000
—
FL
01
—
P01205040
R&R MEDICARE
FL
Enumeration date
08/19/2006
Last updated
08/26/2021
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