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Individual

DR. JERRY CLAYTON MALIOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7003 LANCASTER CT, UNIVERSITY PARK, FL 34201-2371
(901) 233-3489
Mailing address
7003 LANCASTER CT, UNIVERSITY PARK, FL 34201-2371
(901) 233-3489

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
40101
TN
207RN0300X
Nephrology Physician
Primary
ME119645
FL

Other

Enumeration date
07/06/2010
Last updated
08/07/2014
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