Organization
FREDERICK MALIBIRAN DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK MALIBIRAN D.O. (PRESIDENT/OWNER)
(813) 988-1984
Entity
Organization
Contact information
Practice address
13250 N 56TH ST, SUITE #101, TAMPA, FL 33617-1107
(813) 988-1984
Mailing address
PO BOX 262616, TAMPA, FL 33685-2616
(813) 988-1984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7689
FL
Other
Enumeration date
01/08/2008
Last updated
07/03/2008
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