Organization
DELRAY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA MARIE MALCOLM M.D. (OWNER)
(561) 716-7783
Entity
Organization
Contact information
Practice address
4800 LINTON BLVD STE E315, 87, DELRAY BEACH, FL 33445-6585
(561) 716-7783
(561) 819-6003
Mailing address
4800 LINTON BLVD STE E315, 87, DELRAY BEACH, FL 33445-6585
(561) 716-7783
(561) 819-6003
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME0057708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373118900
—
FL
Enumeration date
02/21/2015
Last updated
02/21/2015
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