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Individual

MR. ERIC EDWIN MALEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
700 SOUTH VICTORY WAY, KISSIMMEE, FL 34747
(407) 939-2313
Mailing address
PO BOX 65, PARADISE, TX 76073-0065
(940) 393-0611

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3247
TX

Other

Enumeration date
05/03/2007
Last updated
01/12/2009
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