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Individual

DR. ESSAM YACOUB MALATY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 REDSTONE AVE W, CRESTVIEW, FL 32536-6439
(850) 683-0003
(850) 689-0004
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
H5186
TX
207RH0003X
Hematology & Oncology Physician
Primary
ME61468
FL

Other

Enumeration date
07/21/2006
Last updated
10/09/2023
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