Individual
DEANDRE MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 MERCY DR, ORLANDO, FL 32808-5646
(407) 875-3700
Mailing address
5151 ADANSON ST, ORLANDO, FL 32804-1317
(407) 875-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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