Individual
GEORGE MALKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 PLATINUM PT, LAKE MARY, FL 32746-5702
(407) 878-0910
(407) 878-0911
Mailing address
707 PLATINUM PT, LAKE MARY, FL 32746-5702
(407) 878-0910
(407) 878-0911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0069625
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258856100
—
FL
01
—
28869
BCBS
FL
Enumeration date
03/24/2006
Last updated
08/27/2024
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