Individual
GUILLERMO MAZA MALAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 NE 123RD ST STE 315, NORTH MIAMI, FL 33181-2883
(786) 507-4151
(786) 507-4148
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
125074511
IL
207Y00000X
Otolaryngology Physician
328812
NY
207Y00000X
Otolaryngology Physician
Primary
ME173308
FL
Other
Enumeration date
06/25/2018
Last updated
12/22/2025
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