Organization
DAVID W. MALKA MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W MALKA MD (OWNER)
(727) 869-2115
Entity
Organization
Contact information
Practice address
7539 MEDICAL DR, HUDSON, FL 34667-6502
(727) 869-2115
(727) 863-6167
Mailing address
7539 MEDICAL DR, HUDSON, FL 34667-6502
(727) 869-2115
(727) 863-6167
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262885600
—
FL
01
—
34153
BCBS
FL
Enumeration date
08/31/2006
Last updated
08/23/2011
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