Organization
COMMUNITY MEDICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN EDWARD MALY ARNP (MANAGING MEMBER)
(352) 593-0031
Entity
Organization
Contact information
Practice address
5176 WILLIAM SULLIVAN CIR, BROOKSVILLE, FL 34604-8227
(352) 593-0031
Mailing address
5176 WILLIAM SULLIVAN CIR, BROOKSVILLE, FL 34604-8227
(352) 593-0031
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP912712
FL
363LF0000X
Family Nurse Practitioner
ARNP3301752
FL
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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